RS49853B - HELP FOR USERS WITH CONSEQUENCES OF DAMAGE TO CENTRAL NERVOUS SYSTEM AND / OR DAMAGE TO LOCOMOTOR BODY APPARATUS - Google Patents
HELP FOR USERS WITH CONSEQUENCES OF DAMAGE TO CENTRAL NERVOUS SYSTEM AND / OR DAMAGE TO LOCOMOTOR BODY APPARATUSInfo
- Publication number
- RS49853B RS49853B YUP-22/03A YUP2203A RS49853B RS 49853 B RS49853 B RS 49853B YU P2203 A YUP2203 A YU P2203A RS 49853 B RS49853 B RS 49853B
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- Prior art keywords
- flexible
- possibility
- user
- module
- correction
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Nursing (AREA)
- Pain & Pain Management (AREA)
- Epidemiology (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Control Of Electric Motors In General (AREA)
- Control Of Multiple Motors (AREA)
- Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
- Electrotherapy Devices (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
Pomagalo za korisnike sa posledicama oštecenja centralnog-nervnog sistema i/ili povredama lokomotornog aparata tela koje sadrži reklinator (1), koji se nalazi u gornjem delu tela korisnika i koji je prilagođen za rastavljanje ramena i približavanje lopatica prema kičmi; sredstvo korekcije srednjeg dela tela korisnika, koje se nalazi u lumbalnom predelu; najmanje jedno sredstvo (16) korekcije bedra i potkolenice donjeg ekstrerniteta, izvedeno uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju; najmanje jedno sredstvo (21) korekcije skočnog zgloba i prstiju donjeg ekstremiteta,• izvedeno uz mogućnost fiksiranja stopala u odnosu na skočni zglob, mnogobrojni korekrivno-rotacioni elementi (33) i mnogobrojna sredstva spajanja (41), naznačeno time, što navedeni elementi pomagala predstavljaju zasebne module (A,B,C,D), kojima se pokrivaju određene oblasti tela korisnika, od kojih je svaki izveden uz mogućnost samostalne primene, pri tome reklinator (1) predstavlja prvi modul (A), sredstvo korekcije srednjeg dela predstavlja drugi modul (B), prilagođen za korekciju kičme bez vertikalnog opterećenja, najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta predstavlja treći modul (C), izveden uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju uz omogućavanje slobode pokreta zgloba kolena, a najmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta predstavlja četvrti modul (D), izveden uz mogućnost fiksiranja stopala u odnosu na skočni zglob u frontalnoj i sagitalnoj ravni uz omogućavanje slobode pokreta skočnog zgloba, pri tome je spoljašnja površina svakog modula (A,B,C,D) izvedena od "čičak-jež" materijala, prilagođenog za primenu spajanja tipa "kopčanje Velkro", korektivno-rotacioni elementi (33) redom spajaju drugi, treći i cetvrti modul (B,C,D) uz mogućnost njihovog razdvajanja, a svaki korektivno-rotacioni element (33} je izveden u vidu trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % uz omogućavanje korekcije pokreta korisnika tokom njegovog premeštanja i poseduje sredstva za spajanje (41), kojima se podešava zatezanje korektivno-rotacionih elemenata (33) na svakom mestu njihovog spajanja sa drugim, trećim i četvrtim modulom (B,C,D) i koja poseduju lepljivu površinu, prilagođenu za omogućava spajanja tipa "kopčanje Velkro " sa :-spoljašnjom površinom modula (B,C,D) na bilo kom mestu te povrsine u zavisnosti od palologije korisnika.Aids for users with consequences of damage to the central nervous system and / or injuries to the locomotor apparatus of the body containing the recliner (1), located in the upper part of the user's body and adapted to disassemble the shoulder and bring the shoulder blades closer to the spine; means for correcting the midbrain of the user, located in the lumbar region; at least one means (16) of correction of the lower extremity thigh and lower leg, with the possibility of fixing the thigh and lower leg in a given position; at least one ankle and toe lower limb correction means (21) • made with the possibility of fixation of the foot relative to the ankle, numerous rotary rotary elements (33) and numerous connectors (41), characterized in that said aids elements represent separate modules (A, B, C, D) covering certain areas of the user's body, each of which is self-contained, with the recliner (1) being the first module (A), the middle section correction means the second module (B), adapted for the correction of the spine without vertical loading, at least one means of correcting the lower extremity thigh and lower leg is a third module (C), with the possibility of fixing the thigh and lower leg in a given position allowing freedom of movement of the knee joint, and at least one means of correction the ankle and toes of the lower extremity is the fourth module (D), with the possibility of fixing the feet with respect to the frontal and sagittal plane of the hinge while allowing the hinge to move freely, the outer surface of each module (A, B, C, D) is made of "Velcro-hedgehog" material, adapted for the application of the Velcro buckle type ", the corrective-rotational elements (33) in turn connect the second, third and fourth modules (B, C, D) with the possibility of their separation, and each corrective-rotary element (33} is made in the form of a strip of elastic material with relative elongation of 5 to 50% by allowing the movement of the user to be corrected during its movement and having means of connection (41), which adjusts the tension of the corrective-rotational elements (33) at each place of their connection with the second, third and fourth module (B, C, D ) and which have an adhesive surface, adapted to allow "Velkro buckle" type connections to: -the outer surface of the module (B, C, D) at any location of that surface, depending on the user's palology.
Description
Oblast tehnike Technical field
Ovaj pronalazak se odnosi na medicinu, a još konkretnije - na pomagalo za lečenje obolelih sa posledicama oštećenja centralnog nervnog sistema i/ili povredama lokomotornog aparata tela. This invention relates to medicine, and more specifically - to an aid for the treatment of patients with the consequences of damage to the central nervous system and/or injuries to the locomotor apparatus of the body.
Prethodni nivo tehnike Prior art
Problem lečenja gore navedenih obolenja je veoma aktuelan obzirom da postoji veliki broj obolelih, koji pate od takvih obolenja. Pri tome u ćelom svetu postoji tendencija rasta broja obolelih od navedenog obolenja. The problem of treating the above-mentioned diseases is very topical, given that there is a large number of patients who suffer from such diseases. At the same time, in the whole world there is a tendency to increase the number of people suffering from the aforementioned disease.
Aktuelnost lečenja navedenih obolenja se određuje ne samo velikim brojem obolelih, već i kvalitetom poznatih metoda lečenja. The topicality of the treatment of the mentioned diseases is determined not only by the large number of patients, but also by the quality of known treatment methods.
U ovom trenutku postoje različita pomagala za obnavljanje lokomotornih funkcija različitih delova skeletno-mišičnog sistema čoveka. At the moment, there are various aids for restoring the locomotor functions of different parts of the human skeletal-muscular system.
Naprimer, praktično sva poznata ortopedska pomagala za lečenje patologije donjih ekstremiteta (kako metalno-plastična, tako i šinsko-kožna) predstavljaju takozvani "spoljašnji skelet", koji Štiti funkciju mišića i kapsulno-ligamentnog aparata zglobova ekstremiteta. Tako je u patentu USA br. 5 658 242 opisano pomagalo za olakšanje lokomotorne funkcije donjih ekstremiteta, koje sadrži lumbalni potporni elemenat (bandaža), koji je spojen preko gipke elastične veze sa skočnim potpornim bandažama i ? potpornim bandažama bedra. Navedene bandaže su međusobno spojene čvrstim spregama, koje imaju u svom srednjem delu u nivou zgloba kolena šarnirni spoj. For example, practically all known orthopedic aids for the treatment of pathology of the lower extremities (both metal-plastic and splint-leather) represent the so-called "external skeleton", which protects the function of muscles and the capsule-ligament apparatus of the joints of the extremities. Thus, in US patent no. 5 658 242 describes an aid for facilitating the locomotor function of the lower extremities, which contains a lumbar support element (bandage), which is connected via a flexible elastic connection with spring support bandages and ? thigh support bandages. The aforementioned bandages are connected to each other by rigid couplings, which have a hinge joint in their middle part at the level of the knee joint.
Navedeno pomagalo omogućava otklanjanje opterećenja sa mišića nogu kod hodanja i doprinosi određenom obnavljanju lokomotornih fukcija nogu korisnika, koji je pretrpeo traumu ili kod obolenja donjih ekstremiteta. The above-mentioned aid allows the load to be removed from the leg muscles when walking and contributes to a certain restoration of the locomotor functions of the legs of the user, who has suffered trauma or has a disease of the lower extremities.
Ali korišćenje čvrstog "spoljašnjeg skeleta" dovodi do slabljenja i hipotrofije mišića donjih ekstremiteta. But using a solid "external skeleton" leads to weakening and hypotrophy of the muscles of the lower extremities.
Kod lečenja skeletno-mišićnog sistema gornjih ekstremiteta mogu se koristiti poznata pomagala za lečenje različitih delova gornjih ekstremiteta, naprimer, "Povez rasterećenja gornjeg ekstremiteta (levog/desnog)", "Bandaža lakta<*>, "Bandaža nadlanice", "Šina palca ruke", "Držač šake" (Katalog ortopedskih proizvoda, NPC "Ogonek", Moskva, 1998 g., str. 12, 13, 33). In the treatment of the skeletal-muscular system of the upper extremities, well-known aids for the treatment of various parts of the upper extremities can be used, for example, "Upper extremity relief bandage (left/right)", "Elbow bandage<*>, "Back of the hand bandage", "Thumb splint", "Hand holder" (Catalog of orthopedic products, NPC "Ogonek", Moscow, 1998, pp. 12, 13, 33).
Ali navedena pomagala je komplikovano koristiti istovremeno, zato što je svako od njih pojedinačno prikladno za autonomno korišćenje samo kod lečenja konkretnih patologija gornjih ekstremiteta. But the mentioned aids are complicated to use at the same time, because each of them is individually suitable for autonomous use only in the treatment of specific pathologies of the upper extremities.
U ovom trenutku autorima nisu poznata autonomna pomagala za obnavljanje skeletno-mišićnog sistema gornjih eskremiteta korisnika u celini. At the moment, the authors are not aware of any autonomous aids for restoring the skeletal-muscular system of the user's upper extremities as a whole.
Za otklanjanje posledica trauma i operacija lumbalnog dela kičme široko se koristi poznato pomagalo, izvedeno u vidu korektivnog korseta na lumbalnom delu kičme, koji poseduje uzdužne metalne umetke (Katalog ortopedskih proizvoda, NPC "Ogonek", Moskva, 1998 g., str. 29). Takvo pomagalo kod određenih obolenja omogućava fiksiranje lumbalnog dela kičme u fiziološki zgodnom položaju. To eliminate the consequences of trauma and operations of the lumbar spine, a well-known aid is widely used, made in the form of a corrective corset on the lumbar spine, which has longitudinal metal inserts (Catalog of orthopedic products, NPC "Ogonek", Moscow, 1998, p. 29). Such an aid in case of certain diseases enables fixing the lumbar part of the spine in a physiologically convenient position.
Ali sva gore opisana pomagala su predviđena za autonomnu primenu kod lečenja konkretne patologije korisnika. Tim pomagalima se ne predviđa mogućnost njihove kombinovane upotrebe u slučaju nastanka takve potrebe kod medicinskih indikacija bolesti. But all the aids described above are intended for autonomous use in the treatment of the specific pathology of the user. Those aids do not envisage the possibility of their combined use in the event of such a need for medical indications of the disease.
Poznato je pomagalo za lečenje obolelih sa poremećajem držanja i motorne aktivnosti (patent RF 2054907, prioritet od 31.januara.1992 g.), a koje predstavlja odelo od potrporno-statičnih i dinamičkih elemenata koji se uzajamno dopunjuju. Potporno-statični elementi tog odela predstavljaju zbir oslonaca za rame, karticu, koleno, stopalo, lakat, šaku i prste, koji su vezani međusobno dimaničkim elementima - elastičnim spregama, koje omogućavaju stvaranje doziranog opterećenja, kojim se koriguje držanje obolelog. Svaka sprega je spojena sa dva oslonca, tako što se pričvršćuje sa jednog kraja na jednom potporno-statičnom elementu preko regulatora zatezanja i čvrstog spoja sa drugog kraja za drugi potporno-statični elemenat. Kao posledica takvog spajanja položaj elastičnih sprega u odnosu na telo korisnika je ostvaren po unapred odabranim pravcima, konkretno - po prednjoj, bočnoj i zadnjoj površini tela obolelog. Navedeni položaj elastičnih sprega se ne može promeniti u zavisnosti od patologije korisnika. U slučaju potrebe promene korigovanog držanja korisnika potrebna je primena drugog analognog pomagala, koje je izvedeno, imajući u vidu korekciju patologije korisnika. Na taj način navedeno pomagalo je funkcionalno ograničeno. It is a well-known aid for the treatment of patients with posture and motor activity disorders (patent RF 2054907, priority from January 31, 1992), which is a suit made of supportive-static and dynamic elements that complement each other. The support-static elements of that suit represent a collection of supports for the shoulder, card, knee, foot, elbow, hand and fingers, which are connected to each other by dynamic elements - elastic couplings, which enable the creation of a dosed load, which corrects the patient's posture. Each coupling is connected to two supports by attaching one end to one support-static element via a tension regulator and a tight connection from the other end to another support-static element. As a result of such a connection, the position of the elastic couplings in relation to the user's body is achieved in pre-selected directions, specifically - along the front, side and back surface of the patient's body. The stated position of the elastic couplings cannot be changed depending on the user's pathology. In the case of the need to change the corrected posture of the user, the application of another analog aid is required, which was carried out, taking into account the correction of the user's pathology. In this way, the aforementioned aid is functionally limited.
Oslonac za rame tog pomagala obavlja funkciju gornjeg elementa pričvršćenja, za fiksiranje na njemu elastičnih sprega i gornjeg potpornog elementa odela; karlični oslonac obavlja funkciju intervalnog potporno-vezivnog elementa, vršeći pri tome opterećujući uticaj na kičmu; oslonci stopala, izvedeni u vidu bandaže za članak, streme ispod svoda stopala, streme ispod prednjeg dela stopala, obavljaju funkciju donjeg pričvršćujeg elementa za fiksiranje na njima elastičnih sprega donjeg potpornog elementa odela, stvaraju opterećenje na telo korisnika; oslonci za lakat i koleno obavljaju funkciju intervalnih pričvršćujućih oslonaca, svaki od njih je izveden u vidu bandaže, koja čvrsto obuhvata zglob lakat/koleno i The shoulder support of this aid performs the function of the upper attachment element, for fixing on it elastic couplings and the upper support element of the suit; the pelvic support performs the function of an interval supporting-binding element, exerting a burdensome influence on the spine; foot supports, made in the form of an ankle bandage, stirrups under the arch of the foot, stirrups under the front part of the foot, perform the function of the lower fastening element for fixing on them the elastic couplings of the lower support element of the suit, create a load on the user's body; elbow and knee supports perform the function of interval fastening supports, each of them is made in the form of a bandage, which firmly covers the elbow/knee joint and
izrazito ograničava pokretljivost zgloba. significantly limits joint mobility.
Navedeno pomagalo omogućava fiksiranje zglobova u potrebnom položaju, uz stvaranje momenta sile, koja omogućava savijanje, ispravljanje, rotaciju, primicanje i odmicanje ekstemiteta i trupa. The mentioned aid enables the joints to be fixed in the required position, with the creation of a moment of force, which enables bending, straightening, rotation, approaching and moving the extremities and trunk.
Ali gore navedeni položaj elastičnih sprega poznatog pomagala omogućava stvaranje potpomo-dinamičke strukture samo odela u celini, čime se omogućava korektivni uticaj na telo obolelog samo tačno u skladu sa položajem elastičnih spega, jer čvrsti karakter veze jednog od krajeva svake odgovarajuće sprege sa odgovarajućim potporno-statičnim elementom ograničava smer postavljanja elastične sprege i isključuje stvaranje univerzalnog funkcionalnog pomagala prikladnog za lečenje obolelih sa različiti oštećenjima lokomotornog aparata, uključujući oštećenja nekog od pojedinačnih delova skeletno-mišićnog sistema. But the above-mentioned position of the elastic couplings of the known aid enables the creation of a support-dynamic structure of the suit as a whole, which enables a corrective effect on the patient's body only exactly in accordance with the position of the elastic couplings, because the solid nature of the connection of one of the ends of each corresponding coupling with the corresponding support-static element limits the direction of the installation of the elastic coupling and excludes the creation of a universal functional aid suitable for the treatment of patients with various damage to the locomotor apparatus, including damage to one of the individual parts of the skeletal-muscular system.
Osim toga navedeno pomagalo ne stvara uslove za smanjenje patološkoghipertonusa velikih grudnih mišića i, odgovarajuće, ne omogućava slabljenje patološke sinergije mišića gornih i donjih ekstemiteta. In addition, the mentioned aid does not create conditions for reducing the pathological hypertonus of the large chest muscles and, accordingly, does not allow the weakening of the pathological synergy of the muscles of the upper and lower extremities.
Šta više potporno-statični elemenat lakta ograničava savijanje ruku korisnika u zglobu lakta i onemogućava širenje fiziološkog ugla savijanja, a fiksiranje elastičnih sprega u delu radiokarpusnog zgloba isključuje iz.procesa lečenja rad šake ruke kod primene poznatog pomagala, zato što odvodna sprega palca ne može da kompenzuje odsustvo dozirane fleksije i ekstenzije šake ruke. What's more, the support-static element of the elbow limits the bending of the user's hands in the elbow joint and makes it impossible to expand the physiological bending angle, and the fixing of elastic couplings in the part of the radiocarpal joint excludes from the treatment process the work of the hand when applying a known aid, because the drain coupling of the thumb cannot compensate for the absence of dosed flexion and extension of the hand.
Poznato je pomagalo za lečenje obolelih sa oštećenjem lokomotornog sistema, uključujući posledice oštećenja centralnog nervnog sistema (patent RF br. 2131232, proritet od 15.septembra.1998 g.). To pomagalo predstavlja odelo od elemenata koji se uzajamno dopunjuju, i sadrži reklinator za gornji deo tela korisnika, koji predstavlja potporno-korektivnu bandažu za gornji ramenski pojas i grudni deo trupa, izveden u vidu pelote, čija visina iznosi minimum razmaka od sedmog vratnog pršljena do donjeg dela lopatica korisnika, a širina - minimum razmaka između vertikalnih linija, koje ograničavaju medijalne delove lopatica; potrpomo-korektivne bandaže za ramena, izvedene u vidu pelote, u obliku trougla, odgovaraju antropometrijskim dimenzijama ramena i ramenskih zglobova korisnika; potporno-korektivna bandaža za slabinu, izvedena u vidu pojasa, koji poseduje deo za uzajamnu fiksaciju sa drugim potporno-korektivnim elementima; potporno-korektivne bandaže za donje esktremitete, koje predstavljaju nakolenici i potkolenice, bandaže za prednji deo svakog stopala, bandaže za svaki skočni zglob i svaki petni deo. It is a well-known aid for the treatment of patients with damage to the locomotor system, including the consequences of damage to the central nervous system (RF patent no. 2131232, granted on September 15, 1998). This aid is a suit of elements that complement each other, and contains a recliner for the upper part of the user's body, which is a support-corrective bandage for the upper shoulder girdle and the chest part of the torso, made in the form of a pelota, the height of which is the minimum distance from the seventh cervical vertebra to the lower part of the user's shoulder blades, and the width - the minimum distance between the vertical lines that limit the medial parts of the shoulder blades; supportive-corrective bandages for the shoulders, made in the form of a pellet, in the shape of a triangle, correspond to the anthropometric dimensions of the shoulders and shoulder joints of the user; support-corrective bandage for the lower back, made in the form of a belt, which has a part for mutual fixation with other support-corrective elements; support-corrective bandages for the lower extremities, representing the knees and lower legs, bandages for the forefoot of each foot, bandages for each ankle and each heel.
Potrporno-korektivna bandaža za ramenski pojas i grudni deo trupa reklinira mišiće grudnog dela kičme, obavlja funkciju potporno-korektivnog elementa i učestvuje u stvaranju jedinstvenog fleksibilnog kostura, putem spajanja sa bandažama za ramena. Ovaj reklinator radi kao korektivno pomagalo reflektorno-opterećujućeg tipa i ključni je korektivni elemenat držanja kod formiranja jedinstvenog fleksibilnog kostura. The support-corrective bandage for the shoulder girdle and the chest part of the trunk reclines the muscles of the chest part of the spine, performs the function of a support-corrective element and participates in the creation of a unique flexible skeleton, through connection with the shoulder bandages. This recliner works as a corrective aid of the reflector-loading type and is a key corrective element of posture in the formation of a unique flexible skeleton.
Potporno-korektivne bandaže za rame služe za pričvršćivanje na iste fiksnih elemenata i formiranje fleksibilnog kostura za trup i donje ekstremitete korisnika. Supportive-corrective shoulder bandages serve to attach to the same fixed elements and form a flexible skeleton for the trunk and lower extremities of the user.
Potpomo-korektivna bandaža za lumbalni deo vrši funkciju potporno-korektivnog elementa, za koji se pričvršćuju elastične sprege. Učestvuje u formiranju jedinstvenog fleksibilnog kostura za trup i donje ekstremitete. The support-corrective bandage for the lumbar part performs the function of a support-corrective element, to which elastic couplings are attached. It participates in the formation of a unique flexible skeleton for the trunk and lower extremities.
Potporno-korektivne bandaže za donje ekstremitete su predviđene za pričvršćivanje na iste korektivno-rotacionih elemenata i učestvuju u formiranju jedinstvenog fleksibilnog kostura za trup i donje ekstremitete korisnika. Nakolenici se primenjuju kako bi se obezbedila korekcija položaja zgloba kolena u odnosu na karlično-bedreni zglob, podkolenice se koriste kako bi se obezbedila dopunska korekcija stopala i skočnog zgloba. Nakolenici i podkolenice se ne koriste istovremeno. Supportive-corrective bandages for the lower extremities are designed to be attached to the same corrective-rotational elements and participate in the formation of a unique flexible skeleton for the trunk and lower extremities of the user. Knee braces are applied to ensure the correction of the position of the knee joint in relation to the pelvic-femoral joint, knee braces are used to ensure additional correction of the foot and ankle joint. Knee pads and lower legs are not used at the same time.
Bandaže za prednji dela svakog stopala zasebno, bandaže za svaki skočni zglob i svaki petni deo su potporno-korektivni elementi za formiranje jedinstvenog fleksibilnog kostura u predelu skočnog zgloba i stopala. Bandages for the front parts of each foot separately, bandages for each ankle joint and each heel part are support-corrective elements for the formation of a unique flexible skeleton in the area of the ankle joint and foot.
Svi elementi navedenog pomagala su spojeni fiksirajućirn uzdužnim elementima (pričvršćujućim elementima), koji formiraju fleksibilni kostur za trup i ekstremitete korisnika, kao i elastičnim spregama, koje obavljaju funkciju korektivno-rotacionih elemenata, čija se veličina i mesto montiranja može menjati u skladu sa fiziološkim mišićnim sinergijama korisnika. All the elements of the aforementioned aid are connected by fixed longitudinal elements (fastening elements), which form a flexible skeleton for the trunk and extremities of the user, as well as elastic couplings, which perform the function of corrective-rotational elements, the size and place of mounting of which can be changed in accordance with the physiological muscle synergies of the user.
Navedeno pomagalo omogućava da se oslabi ili privremeno otkloni uticaj vratnog simetričnog tonusnog i lavirintskog tonusnog refleksa obolelog za račun stvaranja uslova za potpunije rastavljanje njegovih ramena i fiksaciju istih u tom položaju, a što se postiže zahvaljujući primeni reklinatora u odelu, koji je u ovom slučaju potrporno-korektivna bandaža za gornji ramenski pojas i grudni deo trupa. Osim toga ponuđena izvedba navedenih elemenata poznatog pomagala u izvesnoj meri smanjuje opterećujući uticaj na kičmu u poređenju sa pomagalom, opisanim u patentu RF br. 2054907, a koje je povoljno za potporno-ligamentni aparat obolelog. The mentioned aid allows to weaken or temporarily eliminate the influence of the patient's neck symmetrical tonic and labyrinthine tonic reflex in order to create conditions for a more complete separation of his shoulders and fixation of them in that position, which is achieved thanks to the application of the recliner in the suit, which in this case is a support-corrective bandage for the upper shoulder girdle and chest part of the torso. In addition, the offered performance of the mentioned elements of the known aid to a certain extent reduces the burdensome impact on the spine compared to the aid described in patent RF no. 2054907, which is favorable for the supporting ligament apparatus of the patient.
Ali navedeno pomagalo obezbeđuje lekovito delovanje samo kada se koristi odelo u celini. Pri tome, u slučaju potrebe da se deluje lekovito na neki konkretni deo skeletno-mišićnog sistema korisnika potrebno je primeniti pomagalo u celini, a korišćenje samo njegovog fragmenta u obliku potporno-korektivne bandaže, koja odgovara oštećenom delu, nc omogućava lekovito delovanje, zato što ne omogućava zahtcvanu korekciju bez primene pomagala u celini, koje omogućava da se stvori neophodna za korekciju sila zatezanja korektivno-rotacionih elemenata. But the mentioned aid provides a healing effect only when the suit is used as a whole. At the same time, in the case of the need to have a curative effect on a specific part of the user's skeletal-muscular system, it is necessary to apply the aid as a whole, and the use of only its fragment in the form of a supportive-corrective bandage, which corresponds to the damaged part, does not enable a curative effect, because it does not enable the required correction without the application of the aid as a whole, which enables the necessary for the correction of the tensioning forces of the corrective-rotational elements to be created.
Osim toga neophodno je naglasiti da sva poznata pomagala za lečenje obolelih sa posledicama oštećenja centralnog nervnog sistema i oštećenjem lokomotornog aparata mogu se posmatrati kao enegetska kola, koja stvaraju u većoj ili manjoj meri izrazito opterećenje na sve elemente kičmenog stuba bez realne kompenzacije mogućeg deformativnog efekta, pri tome kod obolelih u većini slučajeva postoji patologija kičmenog stuba. In addition, it is necessary to emphasize that all known aids for the treatment of patients with the consequences of damage to the central nervous system and damage to the locomotor apparatus can be seen as energy circuits, which create, to a greater or lesser extent, a pronounced load on all elements of the spinal column without realistic compensation of a possible deforming effect, and in most cases, the patients have pathology of the spinal column.
Opis pronalaska Description of the invention
U osnovi ovog pronalaska stoji zadatak, da se stvori univerzalno modulno pomagalo za korisnike sa posledicama oštećenja centralnog nervnog sistema i/ili povredama loko-motomog aparata tela, čiji su pojedini moduli prikladni za samostalno korišćenje kod lečenja odgovarajućeg oštećenog dela skeletno-mišićnog sistema korisnika, uz postizanje fiksacije korigovanog položaja kičme korisnika bez primene opterećenja na kičmu, obnavljanja pravilnog fiziološkog položaja tela korisnika u prostoru i u stanju mirovanja i u dinamici, smanjenja patoloških refleksa i normalizacije pokreta korisnika, kao i stvaranja organizacije kretanja koja je bliska normalnoj. The basis of this invention is the task of creating a universal modular aid for users with the consequences of damage to the central nervous system and/or injuries to the body's locomotor apparatus, whose individual modules are suitable for independent use in the treatment of the corresponding damaged part of the user's skeletal-muscular system, while achieving the fixation of the corrected position of the user's spine without applying a load to the spine, restoring the correct physiological position of the user's body in space and in a state of rest and in dynamics, reducing pathological reflexes and normalizing the user's movements, as and creation of movement organization that is close to normal.
Taj zadatak je rešen stvaranjem pomagala za korisnike sa posledicama oštećenja centralnog nervnog sistema i/ili povredom lokomotornog aparata tela, a koji sadrži reklinator, koji se nalazi u gornjem delu tela korisnika i koji je prilagođen za rastavljanje ramena i približavanje lopatica prema kičmi; sredstvo korekcije središnjeg dela tela korisnika, koje se nalazi u lumbalnom delu; najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta, u izvedbi sa mogućnošću fiksiranja bedra i potkolenice u zadatom položaju; najmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta, u izvedbi uz mogućnost fiksiranja stopala u odnosu na skočni zglob, mnogobrojni korektivno-rotacioni elementi i mnogobrojna sredstva spajanja, u kojem, u skladu sa pronalaskom, navedeni elementi pomagala predstavljaju zasebne module, koji pokrivaju određene oblasti tela korisnika, a svaki od njih je izveden uz mogućnost samostalnog korišćenja, pri tome reklinator predstavlja prvi modul, sredstvo korekcije srednjeg dela predstavlja drugi modul, koji je prilagođen za korekciju kičme bez vertikalnog opterećenja, najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta predstavlja treći modul, izveden uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju uz obezbeđenu slobodu pokreta zgloba kolena, a najmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta predstavlja četvrti modul, izveden uz mogućnost fiksiranja stopala u odnosu na skočni zglob u frontalnoj i sagitalnoj ravni uz obezbeđenje slobode pokreta skočnog zgloba, pri tom spoljašnja površina svakog modula je napravljena od "čičaj-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro", korektivno-rotaciono elementi redom spajaju drugi, treći i četvrti modul uz mogućnost njihovog razdvajanja, a svaki korektivno-rotacioni element je izveden u obliku trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % uz omogućavanje korekcije pokreta korisnika u toku njegovog premeštanja i poseduje sredstva za spajanje, koja regulišu zatezanje korektivno-rotacionih elemenata na svakom od mesta njihovog spajanja sa drugim, trećim i četvrtim modulom i koja poseduju lepljivu površinu, prilagođenu za omogućavanje spajanja tipa "kopčanje Velkro" sa spoljašnjom površinom modula u bilo kom mestu navedene površine, u zavisnosti od patologije korisnika. That task was solved by creating an aid for users with the consequences of damage to the central nervous system and/or injury to the locomotor apparatus of the body, which contains a recliner, which is located in the upper part of the user's body and which is adapted to separate the shoulders and bring the shoulder blades closer to the spine; a means of correcting the middle part of the user's body, which is located in the lumbar part; at least one means of correcting the thigh and lower leg of the lower extremity, in the version with the possibility of fixing the thigh and lower leg in a given position; at least one means of correction of the ankle joint and toes of the lower limb, in an embodiment with the possibility of fixing the foot in relation to the ankle joint, numerous corrective-rotational elements and numerous means of connection, in which, in accordance with the invention, the mentioned elements of the aid represent separate modules, which cover certain areas of the user's body, and each of them is designed with the possibility of independent use, whereby the recliner represents the first module, the means of correction of the middle part represents the second module, which is adapted for the correction of the spine without vertical load, at least one means of correction the thighs and lower legs of the lower limb is represented by the third module, made with the possibility of fixing the thigh and lower leg in a given position with the freedom of movement of the knee joint ensured, and at least one means of correcting the ankle joint and the fingers of the lower limb is represented by the fourth module, made with the possibility of fixing the foot in relation to the ankle joint in the frontal and sagittal plane while ensuring the freedom of movement of the ankle joint, while the outer surface of each module is made of a "hedgehog" material, which is adapted for the application of "fastening" type connections velcro", the corrective-rotational elements connect the second, third and fourth modules in turn with the possibility of their separation, and each corrective-rotational element is made in the form of a strip of elastic material with a relative stretch of 5 to 50%, while enabling the correction of the user's movement during its movement, and has connecting means, which regulate the tension of the corrective-rotational elements at each point of their connection with the second, third and fourth modules and which have an adhesive surface, adapted to enable connections of the "Velcro" type with the external surface of the module in any place of the specified surface, depending on the pathology of the user.
Celishodno je da svaki korektivno-rotacioni element poseduje sredstvo za pramenu njegove dužine. It is expedient that each corrective-rotational element has a means for a strand of its length.
Korisno je da reklinator sadrži prvu i drugu fleksibilnu traku, svaka od njih je u izvedbi prostorno savijena u obliku petlje tako da se formira prva i druga naramenica, a svakom od njih se obuhvata odgovarajući ramenski zglob i poseduje sredstvo uzajamnog delovanja koje spaja prve krajeve prve i druge fleksibilne trake uz mogućnost regulisanja razmaka između njih i nalazi se na leđima korisnika, pri tome drugi krajevi prve i druge fleksibilne trake su pričvršćeni odgovarajuće na prvu i drugu fleksibilnu traku u blizini sredstva uzajamnog delovanja. It is useful that the recliner contains a first and a second flexible strap, each of them is spatially bent in the form of a loop so that the first and second shoulder straps are formed, and each of them includes a corresponding shoulder joint and has a means of mutual action that connects the first ends of the first and second flexible straps with the possibility of regulating the distance between them and is located on the back of the user, while the other ends of the first and second flexible straps are attached respectively to the first and second flexible straps near the means of mutual action.
Poželjno je da pomagalo sadrži savitljivu ploču, koja pokriva deo leđa korisnika u zoni između lopatica i koja se nalazi između reklinatora (1) i leda korisnika, pri tome spoljašnja površina savitljive ploče je napravljena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro" i prilagođena je za spajanje sa prvom i drugom trakom reklinatora, čija unutrašnja strana svake od njih ima lepljivu površinu, prilagođenu za omogućavanje spajanje tipa "kopčanje Velkro" sa spoljašnjom površinom savitljive ploče, pri tome u donjem delu ploče postoji sredstvo za spajanje, prilagođeno za spajanje sa drugim modulom. It is preferable that the aid comprises a flexible plate, which covers the part of the user's back in the area between the shoulder blades and which is located between the recliner (1) and the user's back, the outer surface of the flexible plate is made of a "Velcro-hedgehog" material, which is adapted for applying a connection of the "Velcro fastening" type and is adapted for connection with the first and second straps of the recliner, the inner side of each of which has an adhesive surface, adapted to enable the "Velcro fastening" type connection with the outer surface of the flexible board, while in the lower part of the board there is a means of connection, adapted for connection with another module.
Udobno je da sredstvo za korekciju srednjeg dela tela korisnika sadrži korset, koji ima složenu profilisanu formu, koja omogućava korekciju kičme bez vertikalnog opterećenja, pri tome prvi deo korseta obuhvata telo korisnika u lumbalnom delu i poseduje sredstvo za fiksiranje tog dela na telu korisnika u poprečnom smeru, a drugi deo korseta pokriva leđa u predelu lopatica. It is convenient that the device for correcting the middle part of the user's body contains a corset, which has a complex profiled shape, which enables the correction of the spine without vertical load, while the first part of the corset covers the user's body in the lumbar part and has a means for fixing that part on the user's body in the transverse direction, and the second part of the corset covers the back in the area of the shoulder blades.
Celoishodno je da sredstvo za korekciju srednjeg dela tela korisnika sadrži sledeće: korset, koji ima složenu profilisanu formu, koja omogućava korekciju kičme bez vertikalnog opterećenja, koji obuhvata telo korisnika u lumbalnom delu i poseduje sredstvo za njegovo fiksiranje na telu korisnika u poprečnom smeru i sredstvo za spajanje, izvedeno uz mogućnost spajanja sa sredstvom za spajanje savitljive ploče. As a result, the device for correcting the middle part of the user's body contains the following: a corset, which has a complex profiled shape, which enables the correction of the spine without vertical load, which includes the user's body in the lumbar part and has a means for fixing it on the user's body in the transverse direction and a connecting device, made with the possibility of connecting with a device for connecting a flexible plate.
Moguće je da pomenuto sredstvo korekcije bedra i potkolenice pomenutog donjeg ekstremiteta sadrži prvu i drugu fleksibilnu bandažu, kojom se obuhvata donji ekstremitet, odgovarajuće iznad zgloba kolena i ispod zgloba kolena i fiksirane na tom mestu uz mogućnost regulisanja razmaka preko elemenata za pričvršćivanje, koji postoje na jednom kraju svake od fleksibilnih bandaža, pri tome fleksibilne bandaže su spojene u predelu potkolenice suprotnim uzdužnim ivicama. It is possible that the mentioned tool for correcting the thigh and lower leg of the mentioned lower limb contains a first and a second flexible bandage, which includes the lower limb, correspondingly above the knee joint and below the knee joint and fixed in that place with the possibility of regulating the distance via the fastening elements, which exist at one end of each of the flexible bandages, while the flexible bandages are connected in the area of the lower leg by opposite longitudinal edges.
Korisno je da pomenuto sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta sadrži prvi fleksibilni kaiš, koji obuhvata članak donjeg ekstremiteta i koji poseduje na jednom kraju sredstvo uzajamnog delovanja za fiksiranje tog fleksibilnog kaiša na članku uz mogućnost regulisanja razmaka, drugi fleksibilni kaiš koji obuhvata stopalo u predelu njegovog uzdužnog svoda i čiji su krajevi pričvršćeni za prvi fleksibilni kaiš sa suprotnih bočnih strana članka, elemenat vrhova prstiju-tabanski elemenat u obliku krsta, čija su tri kraja prostorno savijena jedan prema drugome, obuhvataju stopalo u predelu vrha prstiju i koji su spojeni međusobno preko elemenata za pričvršćivanje, a četvrti kraj je izveden slobodno i nalazi se ispod stopala duž cele njegove dužine, pri tome postoje dve elastične sprege, koje spajaju odgovarajući prvi i drugi fleksibilni kaiš sa elementom vrhova prstiju-tabanskim elementom u predelu vrha prstiju uz mogućnost regulisanja razmaka između njih. It is useful that the aforementioned means of correcting the ankle joint and toes of the lower limb contains a first flexible belt, which includes the article of the lower limb and which has at one end a means of mutual action for fixing the flexible belt on the article with the possibility of regulating the distance, a second flexible belt which covers the foot in the area of its longitudinal arch and whose ends are attached to the first flexible belt on the opposite sides of the article, an element of the tips of the toes-a plant element in the shape of a cross, the three ends of which are spatially bent towards each other, they include the foot in the area of the tip of the toes and which are connected to each other via fastening elements, and the fourth end is made free and is located under the foot along its entire length, while there are two elastic couplings, which connect the corresponding first and second flexible belt with the element of the tips of the toes-the sole element in the area of the tips of the toes with the possibility of regulating the distance between them.
Poželjno je da pomagalo poseduje fiksno-vezivna sredstva za spajanje korektivno-rotacionih elemenata sa odgovarajućim modulom, od kojih svaki poseduje najmanje jednu kopču i u izvedbi od dva sloja, gde je spoljašnja površina prvog izvedena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro", a spoljašnja površina drugog sloja je lepljiva, prilagođena za primenu spajanja tipa "kopčanje Velkro", pri tome svako sredstvo spajanja koje postoji na svakom korektivno-rotacionom elementu poseduje "čičak-jež" površinu, prilagođenu za omogućavanje spajanje tipa "kopčanje Velkro". It is preferable that the aid has fixed-binding means for connecting the corrective-rotational elements with the appropriate module, each of which has at least one clip and in a two-layer design, where the outer surface of the first is made of "Velcro-hedgehog" material, which is adapted for the application of the "Velcro fastening" type connection, and the outer surface of the second layer is adhesive, adapted for the application of the "Velcro fastening" type connection, while each means of connection that exists on each corrective-rotational element has "Velcro-hedgehog" surface, adapted to enable "Velcro" type connection.
Celishodno je da pomagalo poseduje peti modul, koji predstavlja najmanje jedno sredstvo korekcije gornjeg ekstremiteta, izvedeno uz mogućnost fiksiranja ramena i podlaktice u zadatom položaju uz omogućavanje slobode pokreta zgloba lakta i čija je spoljašnja površina izvedena od "čičak-jež" materijala prilagođenog za primenu spajanja tipa "kopčanje Velkro", pri tome postoji najmanje jedan korektivno-rotacioni element, koji povezuje peti modul sa prvim modulom, uz mogućnost njihovog razdvajanja, izveden u vidu trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % i koji omogućava korekciju pokreta gornjeg ekstremiteta u toku njegovog funkcionisanja, pri tome korektivno-rotacioni element poseduje sredstva spajanja, koja reguliša njegovu zategnutost na mestu spajanja sa prvim i petim modulom, kao i lepljivu površinu prilagođenu za omogućavanje spajanja tipa "kopčanje Velkro" na bilo kom mestu spoljašnjih površina prvog i petog modula, u zavisnosti od patologije korisnika. It is desirable that the aid has a fifth module, which represents at least one means of correction of the upper extremity, made with the possibility of fixing the shoulder and forearm in a given position while allowing freedom of movement of the elbow joint and whose outer surface is made of "Velcro-hedgehog" material adapted for the application of "Velcro fastening" type connection, while there is at least one corrective-rotational element, which connects the fifth module with the first module, with the possibility of their separation, made in the form of a strip of elastic material with a relative stretch of 5 to 50% and which enables the correction of the movement of the upper extremity during its functioning, while the corrective-rotational element has means of connection, which regulates its tension at the point of connection with the first and fifth modules, as well as an adhesive surface adapted to enable connection of the "Velcro fastening" type anywhere on the outer surfaces of the first and fifth modules, depending on the pathology of the user.
Poželjno je da svaki korektivno-rotacioni element sredstva korekcije gornjeg ekstremiteta poseduje sredstvo za promenu njegove dužine. It is desirable that each corrective-rotational element of the means of correction of the upper extremity has a means for changing its length.
Korisno je da sredstvo korekcije gornjeg ekstremiteta sadrži prvu i drugu prostorno izvijenu fleksibilnu traku, koje obuhvataju gornji ekstremitet, odgovarajuće iznad zgloba lakta i ispod zgloba lakta i fiksirane na tom mestu, uz mogućnost podešavanja razmaka preko elemenata za pričvršćivanje, koji postoje na jednom kraju svake od prostorno izvijenih fleksibilnih traka, pri tome fleksibilne trake su spojene u predelu podlaktice suprotnim uzdužnim ivicama, pri tome postoji fleksibilni elemenat šake, ergonomski prilagođen za fiksiranje na dlan i razdvajanje palca gornjeg ekstremiteta koji je u obliku slova V i sredstvo fiksiranja na šaci, uz mogućnost regulisanja sile zatezanja fleksibilnog elementa šake, koji je spojen sa drugom fleksibilnom trakom preko najmanje jedne elastične sprege, koja spaja fleksibilni elemenat šake sa drugom fleksibilnom trakom, pri čemu na krajevima elastičneh sprege postoje sredstva spajanja, koja regulišu zatezanje te sprege u mestu njenog spajanja sa fleksibilnim elementom šake i drugom fleksibilnom trakom. It is useful that the means of correction of the upper extremity contains the first and second spatially curved flexible strips, which include the upper extremity, correspondingly above the elbow joint and below the elbow joint and fixed in that place, with the possibility of adjusting the distance via the fastening elements, which exist at one end of each of the spatially curved flexible strips, while the flexible strips are joined in the area of the forearm by opposite longitudinal edges, while there is a flexible element of the hand, ergonomically adapted for fixing on the palm and separation of the thumb of the upper extremity, which is in the shape of the letter V and a means of fixation on the hand, with the possibility of regulating the force of tension of the flexible element of the hand, which is connected to another flexible strip via at least one elastic coupling, which connects the flexible element of the hand to another flexible strip, and at the ends of the elastic couplings there are connection means, which regulate the tension of that coupling in the place of its connection with the flexible element of the hand and the other flexible strip.
Gore opisana konstruktivna izvedba predloženog pomagala omogućava stvaranje univerzalnog modulnog pomagala, čiji su zasebni moduli prikladni za autonomno korišćenje kod lečenja odgovarajućeg oštećenog dela skeletno-mišićnog sistema korisnika ili njegovog centralnog nervnog sistema. The constructive performance of the proposed aid described above enables the creation of a universal modular aid, whose separate modules are suitable for autonomous use in the treatment of the corresponding damaged part of the user's skeletal-muscular system or his central nervous system.
Osim toga, pomagalo omogućava da se postigne fiksiranje korigovanog položaja kičme korisnika bez primene vertikalnog opterećenja na kičmu. In addition, the aid allows to achieve fixation of the corrected position of the user's spine without applying a vertical load to the spine.
Pri tome nastaje mogućnost rehabilitacije ispravnog fiziološkog položaja tela korisnika u prostoru i u stanju mirovanja i u dinamici, kao i mogućnost smanjenja patoloških refleksa i normalizacije pokreta korisnika i stvaranja organizacije pokreta korisnika, koja je bliska normalnoj. This creates the possibility of rehabilitating the correct physiological position of the user's body in space both at rest and in dynamics, as well as the possibility of reducing pathological reflexes and normalizing the user's movements and creating an organization of the user's movements that is close to normal.
Pri tome izvedba svakog od navedenih modula može da se razlikuje od gore opisanog i može da bude u drugoj izvedbi, prikladnoj za analogne ciljeve. At the same time, the performance of each of the mentioned modules may differ from the one described above and may be in a different performance, suitable for analog purposes.
Ali navedeni ciljevi se mogu efektivno postići stvaranjem pomagala za korisnike sa posledicama oštećenja centralnog nervnog sistema i/ili povredama loko-motomog aparata tela, koji sadrži reklinator, koji se nalazi u gornjem delu tela korisnika i koji je prilagođen za rastavljanje ramena i približavanje lopatica prema kičmi; sredstvo korekcije srednjeg dela tela korisnika, koje se nalazi u lumbalnom predelu, najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta, u izvedbi uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju; najmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta, u izvedbi uz mogućnost fiksiranja stopala u odnosu na skočni zglob, mnogobrojni korektivno-rotacioni elementi i mnogobrojna sredstva spajanja, pri tome u skladu sa pronalaskom navedeni elementi pomagala predstavljaju zasebne module, koji pokrivaju određene oblasti tela korisnika, od kojih je svaki u izvedbi uz mogućnost samostalne primene, pri tome reklinator predstavlja prvi modul i sadrži prvu i drugu fleksibilnu traku, od kojih je svaka izvedena prostorno savijena u vidu petlje tako da se formira prva i druga naramenica, a svaka od njih obuhvata odgovarajući ramenski zglob i poseduje sredstvo uzajamnog delovanja koje spaja međusobno prve krajeve prve i druge fleksibilne trake uz mogućnost podešavanja razmaka između njih i nalazi se na leđima korisnika, pri tome drugi krajevi prve i druge fleksibilne trake su pričvršćeni odgovarajuće na prvu i drugu fleksibilnu traku u blizini sredstva uzajamnog delovanja, sredstvo korekcije srednjeg dela predstavlja drugi modul, prilagođen za korekciju kičme bez vertikalnog opterećenja i sadrži korset koji poseduje složenu profilisanu formu, koja omogućava korekciju kičme bez vertikalnog opterećenja, pri tome se prvim delom korseta obuhvata telo korisnika u lumbalnom predelu i poseduje sredstvo za fiksiranje tog dela na telu korisnika u poprečnom smeru, a drugi deo korseta pokriva leđa u predelu lopatica, najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta predstavlja treći modul, izveden uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju uz omogućavanje slobode pokreta zgloba kolena i sadrži prvu i drugu fleksibilnu bandažu kojima se obuhvata donji ekstremitet, odgovarajuće iznad zgloba kolena i ispod zgloba kolena i fiksirane na tom mestu uz mogućnost regulisanja razmaka preko elemenata pričvršćivanja, koji se nalaze na jednom kraju svake od fleksibilnih bandaža, pri tome fleksibilne bandaže su spojene u predelu potkolenice suprotnim uzdužnim ivicama, a majmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta predstavlja četvrti modul, izveden uz mogućnost fiksiranja stopala u odnosu na skočni zglob u frontalnoj i sagitalnoj ravni uz omogućavanje slobode pokreta skočnog zgloba i koji sadrži prvi fleksibilni kaiš kojim se obuhvata članak donjeg ekstremiteta i koji poseduje na jednom kraju sredstvo uzajamnog delovanja za fiksiranje tog fleksibilnog kaiša na članku uz mogućnost podešavanja razmaka, drugi fleksibilni kaiš kojim se obuhvata stopalo u predelu njegovog uzdužnog svoda i čiji su krajevi pričvršćeni za prvi fleksibilni kaiš sa suprotnih bočnih strana članka, elemenat vrhova prstiju-tabanski elemenat u obliku krsta. čija su tri kraja prostorno savijena jedan prema drugome, obuhvataju stopalo u predelu vrha prstiju i spojeni međusobno preko elemenata za pričvršćivanje, a četvrti kraj je izveden slobodno i nalazi se ispod stopala duž cele njegove dužine, pri tome postoje dve elastične sprege, kojima se spajaju odgovarajuće prvi i drugi fleksibilni kaiš sa elementom vrhova prstiju-tabanskim elementom u predelu vrha prstiju uz mogućnost podešavanja razmaka između njih, pri tome spoljašnja površina svakog modula je izvedena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro", korektivno-rotacioni elementi redom spajaju drugi, treći i četvrti modul uz mogućnost njihovog razdvajanja, a svaki korektivno-rotacioni element je izveden u vidu trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % uz omogućavanje korekcije pokreta korisnika tokom njegovog premeštanja i poseduje sredstva za spajanje, kojima se reguliše zatezanje korektivno-rotacionih elemenata na svakom mestu njihovog spajanja sa drugim, trećim i četvrtim modulom i poseduju lepljivu površinu prilagođenu za omogućavanje spajanje tipa "kopčanje Velkro" sa spoljašnjom površinom modula na bilo kom mestu te površine u zavisnosti od patologije korisnika. But the aforementioned goals can be effectively achieved by creating an aid for users with the consequences of damage to the central nervous system and/or injuries of the locomotor apparatus of the body, which includes a recliner, which is located in the upper part of the user's body and which is adapted to separate the shoulders and bring the shoulder blades closer to the spine; a means of correcting the middle part of the user's body, which is located in the lumbar region, at least one means of correcting the thigh and lower leg of the lower limb, in the version with the possibility of fixing the thigh and lower leg in a given position; at least one means of correction of the ankle joint and toes of the lower limb, in an embodiment with the possibility of fixing the foot in relation to the ankle joint, numerous corrective-rotational elements and numerous connecting means, and in accordance with the invention, the said elements of the aid represent separate modules, which cover certain areas of the user's body, each of which is in an embodiment with the possibility of independent application, while the recliner is the first module and contains the first and second flexible strips, each of which is made spatially bent in the form of a loop so as to form the first and the second shoulder strap, each of them includes a corresponding shoulder joint and has a means of mutual action that connects the first ends of the first and second flexible straps to each other with the possibility of adjusting the distance between them and is located on the back of the user, while the other ends of the first and second flexible straps are attached respectively to the first and second flexible straps near the means of action, the means of correction of the middle part is a second module, adapted for the correction of the spine without vertical load and contains a corset that has a complex profiled form, which enables the correction of the spine without vertical load, at mutual that's the first part the corset covers the body of the user in the lumbar region and has means for fixing that part on the body of the user in the transverse direction, and the other part of the corset covers the back in the area of the shoulder blades, at least one means of correcting the thigh and lower leg of the lower limb is the third module, made with the possibility of fixing the thigh and lower leg in a given position while allowing freedom of movement of the knee joint and contains the first and second flexible bandages that cover the lower limb, correspondingly above the knee joint and below the knee joint and fixed on that in place with the possibility of regulating the distance via the fastening elements, which are located at one end of each of the flexible bandages, while the flexible bandages are connected in the area of the lower leg by opposite longitudinal edges, and the fourth module, designed with the possibility of fixing the foot in relation to the ankle joint in the frontal and sagittal plane while allowing freedom of movement of the ankle joint, and which contains the first flexible belt that covers the joint of the lower limb and which possesses at one end the means of the mutual actions for fixing that flexible belt on the article with the possibility of adjusting the distance, the second flexible belt which covers the foot in the area of its longitudinal arch and whose ends are attached to the first flexible belt on the opposite sides of the article, the element of the tips of the toes-the sole element in the shape of a cross. the three ends of which are spatially bent towards each other, include the foot in the area of the tip of the toes and are connected to each other via fastening elements, and the fourth end is made free and is located under the foot along its entire length, while there are two elastic couplings, which connect the corresponding first and second flexible belt with the element of the tips of the toes-the sole element in the area of the tips of the toes with the possibility of adjusting the distance between them, while the outer surface of each module is made of "Velcro-hedgehog" material, which is adapted for the application of the connection type "Velcro fastening", the corrective-rotational elements connect the second, third and fourth modules in turn with the possibility of their separation, and each corrective-rotational element is made in the form of a strip of elastic material with a relative stretch of 5 to 50% while enabling the correction of the user's movement during its movement and has connection means that regulate the tension of the corrective-rotational elements at each point of their connection with the second, third and fourth modules and have an adhesive surface adapted for enabling "snap" type connection Velcro" with the external surface of the module at any point of that surface depending on the pathology of the user.
Celishodno je da svaki korektivno-rotacioni element poseduje sredstvo za promenu njegove dužine. It is expedient that each corrective-rotational element has a means to change its length.
Korisno je da pomagalo sadrži peti modul, koji predstavlja najmanje jedno sredstvo korekcije gornjeg ekstremiteta, izvedeno uz mogućnost fiksiranja ramena i podlatice u zadatom položaju uz omogućavanje slobode pokreta zgloba lakta i čija spoljašnja površina je izvedena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro", pri tome sredstvo korekcije gornjeg ekstremiteta sadrži prvu i drugu prostorno savijenu fleksibilnu traku, kojima se obuhvata gornji ekstremitet, odgovarajuće iznad zgloba lakta i ispod zgloba lakta i fiksirane na tome mestu uz mogućnost regulisanja razmaka preko elemenata za pričvršćivanje, koji postoje na jednom kraju svake prostorno savijene fleksibilne trake, pri tome fleksibilne trake su u predelu podlaktice spojene suprotnim uzdužnim ivicama, pri tome postoji fleksibilni elemenat šake, ergonomski prilagođen za fiksiranje na dlanu i razdvajanje palca gornjeg ekstremiteta u obliku slova V i sredstvo fiksiranja na šaci uz mogućnost regulisanja sile zatezanja fleksibilnog elementa šake, koji je spojen sa drugom fleksibilnom trakom preko najmanje jedne elastične sprege sa kojom se spaja fleksibilni elemenal šake sa drugom fleksibilnom trakom, pri čemu na krajevima elastične sprege postoje sredstva spajanja, koja regulišu zatezanje te sprege na mestu njenog spajanja sa fleksibilnim elementom šake i drugom fleksibilnom trakom, pri tome postoji najmanje jedan korektivno-rotacioni element koji spaja peti modul sa prvim modulom uz mogućnost njihovog razdvajanja, izveden u vidu trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % i koji omogućava korekciju pokreta gornjeg ekstremiteta tokom njegove funkcije, pri tome korektivno-rotacioni element poseduje sredstva za spajanje, kojima se reguliše njegovo zatezanje na mestu spajanja sa prvim i petim modulom, i lepljivu površinu, prilagođenu za omogućavanje spajanja tipa "kopčanje Velkro" na bilo kom mestu spoljašnje površine prvog i petog modula u zavisnosti od patologije korisnika. It is useful that the aid contains a fifth module, which represents at least one means of correction of the upper limb, performed with the possibility of fixing the shoulder and forearm in a given position while allowing freedom of movement of the elbow joint and whose outer surface is made of "Velcro-hedgehog" material, which is adapted for the application of the "fastening Velcro" type connection, while the means of correction of the upper limb contains the first and second spatially bent flexible tapes, which cover the upper limb, correspondingly above the elbow joint and below the elbow joint and fixed in that place with the possibility of regulating the distance via the fastening elements, which exist at one end of each spatially bent flexible strip, while the flexible strips are joined in the area of the forearm by opposite longitudinal edges, there is also a flexible element of the hand, ergonomically adapted for fixing on the palm and separating the thumb of the upper limb in the shape of the letter V and a means of fixing on the hand with the possibility of regulating the tension force of the flexible element of the hand, which is connected to another flexible strip via at least one elastic coupling with which the flexible element of the hand is connected to the second flexible strip, where at the ends of the elastic coupling there are connecting means, which regulate the tension of that coupling at the point of its connection with the flexible element of the hand and the second flexible strip, while there is at least one corrective-rotational element that connects the fifth module to the first module with the possibility of their separation, made in the form of a strip of elastic material with a relative elongation of 5 to 50% and which enables the correction of the movement of the upper limb during its functions, while the corrective-rotational element has connection means, which regulate its tension at the point of connection with the first and fifth modules, and an adhesive surface, adapted to enable connection of the "Velcro fastening" type anywhere on the outer surface of the first and fifth modules, depending on the pathology of the user.
Poželjno je da svaki pomenuti korektivno-rotacioni element sredstva korekcije gornjeg ekstremiteta poseduje sredstvo promene njegove dužine. It is desirable that each mentioned corrective-rotational element of the means of correction of the upper extremity has a means of changing its length.
Pri tome najefektivnije se mogu postići navedeni ciljevi stvaranjem pomagala za korisnike sa posledicama oštećenja centralnog nervnog sistema i/ili povredama lokomotorrnog aparata tela koji sadrži reklinator, koji se nalazi na gornjem delu tela korisnika i koji je prilagođen za rastavljanje ramena i približavanje lopatica prema kičmi; sredstvo korekcije srednjeg dela tela korisnika, koje se nalazi u lumbalnom predelu; najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta, izvedeno uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju; najmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta, izvedeno uz mogućnost fiksiranja stopala u odnosu na skočni zglob, mnogobrojni korektivno-rotacioni elementi i mnogobrojna sredstva spajanja, pri tome u skladu sa pronalaskom, navedeni elementi pomagala predstavljaju zasebne module, koji pokrivaju određene oblasti tela korisnika, svaki od njih je izveden uz mogućnost samostalne primene, pri tome reklinator predstavlja prvi modul i sadrži prvu i drugu fleksibilnu traku, svaka od njih je izvedena prostorno savijena u vidu petlje, tako da se formira prva i druga naramenica, svakom od kojih se obuhvata odgovarajući ramenski zglob i poseduje sredstvo uzajamnog delovanja, koje međusobno spaja prve krajeve prve i druge fleksibilne trake uz mogućnost regulisanja razmaka među njima i koji se nalazi na leđima korisnika, pri tome drugi krajevi prve i drugo fleksibilne trake su pričvršćeni odgovarajuće za prvu i drugu fleksibilnu traku u blizini sredstva uzajamnog delovanja, sredstvo korekcije srednjeg dela predstavlja drugi modul, prilagođen za korekciju kičme bez vertikalnog opterećenja i sadrži korset, koji poseduje složenu profilisanu formu, koja omogućava korekciju kičme bez vertikalnog opterećenja, pri tome prvim delom korseta se obuhvata telo korisnika u lumbalnom predelu i poseduje sredstvo za fiksiranje tog dela na telu korisnika u poprečnom smeru, a drugim delom korseta se pokrivaju leđa u predelu lopatica, najmanje jedno sredstvo korekcije bedra i potkolenice donjeg ekstremiteta predstavlja treći modul, izveden uz mogućnost fiksiranja bedra i potkolenice u zadatom položaju uz omogućavanje slobode pokreta zgloba kolena i sadrži prvu i drugu felsibilnu bandažu, kojima se obuhvata donji ekstremitet, odgovarajuće iznad zgloba kolena i ispod zgloba kolena i fiksirane na tom mestu uz mogućnost regulasanja razmaka preko elemenata za pričvršćivanje, koji se nalaze na jednom kraju svake od fleksibilnih bandaža, pri tome fleksibilne bandaže su spojene u predelu potkolenice suprotnim uzdužnim ivicama, a najmanje jedno sredstvo korekcije skočnog zgloba i prstiju donjeg ekstremiteta predstavlja četvrti modul, izveden uz mogućnost fiksiranja stopala u odnosu na skočni zglob u frontalnoj i sagitalnoj ravni uz omogućavanje slobode pokreta skočnog zgloba, i koji sadrži prvi fleksibilni kaiš, kojim se obuhvata članak donjeg ekstremiteta i koji poseduje na jednom kraju sredstvo uzajamnog delovanja za fiksiranje tog fleksibilnog kaiša na članku uz mogućnost regulisanja razmaka, drugi fleksibilni kaiš, kojim se obuhvata stopalo u predelu svoda i čiji su krajevi pričvršćeni za prvi fleksibilni kaiš sa suprotnih bočnih strana članka, elemenat vrhova prstiju-tabanski elemenat u obliku krsta, čija su tri kraka prostorno savijena jedan prema drugome, kojima se obuhvata stopalo u predelu vrha prstiju i koji su međusobno spojeni preko elemenata za pričvršćivanje, a četvrti kraj je izveden slobodno i nalazi se ispod stopala duž cele njegove dužine, pri tome postoje dve elastične sprege, koje spajaju odgovarajuće prvi i drugi fleksibilni kaiš sa elementom vrhova prstiju-tabanskim elementom u predelu vrha prstiju uz mogućnost regulisanja razmaka između njih, pri tome pomagalo poseduje peti modul, koji predstavlja najmanje jedno sredstvo korekcije gornjeg ekstremiteta, izvedeno uz mogućnost fiksiranja ramena i podlaktice u zadatom položaju uz omogućavanje slobode pokreta zgloba lakta, pri tome sredstvo korekcije gornjeg ekstremiteta sadrži prvu i drugu prostorno savijenu fleksibilnu traku, kojima se obuhvata gornji ekstremitet, odgovarajućeiznad zgloba lakta i ispod zgloba lakta i fiksirane na tom mestu uz mogućnostregulisanja razmaka preko elemenata za pričvršćivanje, koji se nalaze na jednom kraju svake od prostorno savijenih fleksibilnih traka, pri tome fleksibilne trake su spojene u predelu podlaktice suprotnim uzdužnim ivicama, pri tome postoji fleksibilni elemenat šake, ergonomski prilagođen za fiksiranje na dlanu i za razdvajanje palca gornjeg ekstremiteta u obliku slova V i sredstvo fiksiranja na šaci uz mogućnost regulisanja sile zatezanja fleksibilnog elementa šake, koji je spojen sa drugom fleksibilnom trakom preko najmanje jedne elastične sprege koja spaja fleksibilni elemenat šake sa drugom fleksibilnom trakom, pri čemu na krajevima elastične sprege postoje sredstva spajanja, kojima se reguliše zatezanje te sprege na mestu njenog spajanja sa fleksibilnim elementom šake i drugom fleksibilnom trakom, pri čemu spoljašnja površina svakog modula je izvedena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro", korektivno-rotacioni elementi redom spajaju drugi, treći i četvrti modul uz mogućnost njihovog razdvajanja i prvi modul sa petim modulom uz mogućnost njihovog razdvajanja, a svaki korektivno-rotacioni element je izveden u vidu trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % uz omogućavanje korekcije pokreta korisnika tokom njegovog premeštanja i poseduje sredstva za spajanje, kojima se reguliše zatezanje korektivno-rotacionih elemenata na svakom mestu njihovog spajanja sa svakim modulom i koji imaju lepljivu površinu, prilagođenu za omogućavanje spajanja tipa "kopčanje Velkro" sa spoljašnjom površinom modula na bilo kom mestu te površine u zavisnosti od patologije korisnika. In doing so, the stated goals can be achieved most effectively by creating an aid for users with the consequences of damage to the central nervous system and/or injuries to the locomotor apparatus of the body, which contains a recliner, which is located on the upper part of the user's body and which is adapted to separate the shoulders and bring the shoulder blades closer to the spine; means of correcting the middle part of the user's body, located in the lumbar region; at least one means of correcting the thigh and lower leg of the lower extremity, performed with the possibility of fixing the thigh and lower leg in a given position; at least one means of correction of the ankle joint and fingers of the lower limb, made with the possibility of fixing the foot in relation to the ankle joint, numerous corrective-rotational elements and numerous connecting means, while in accordance with the invention, the mentioned elements of the aid represent separate modules, which cover certain areas of the user's body, each of them is made with the possibility of independent application, while the recliner represents the first module and contains the first and second flexible tape, each of them is made spatially bent in the form of a loop, so that it forms first and second straps, each of which includes a corresponding shoulder joint and has a means of mutual action, which mutually connects the first ends of the first and second flexible straps with the possibility of regulating the distance between them and which is located on the back of the user, while the other ends of the first and second flexible straps are attached respectively to the first and second flexible straps near the means of action, the correction means of the middle part is a second module, adapted for the correction of the spine without vertical load and contains a corset, which has a complex profiled shape, which enables the correction of the spine without mutual vertical load, approx therefore, the first part of the corset covers the body of the user in the lumbar region and has a means for fixing that part on the body of the user in the transverse direction, and the second part of the corset covers the back in the area of the shoulder blades, at least one means of correcting the thigh and lower leg of the lower limb is the third module, made with the possibility of fixing the thigh and lower leg in a given position while allowing freedom of movement of the knee joint and contains the first and second flexible bandages, which cover the lower limb, correspondingly above the knee joint and below knee joint and fixed in that place with the possibility of adjusting the distance via the fastening elements, which are located at one end of each of the flexible bandages, while the flexible bandages are joined in the area of the lower leg by opposite longitudinal edges, and at least one means of correction of the ankle joint and the fingers of the lower limb is the fourth module, made with the possibility of fixing the foot in relation to the ankle joint in the frontal and sagittal plane while allowing freedom of movement of the ankle joint, and containing the first flexible belt, which includes the article below limb and which has at one end a means of mutual action for fixing that flexible strap on the article with the possibility of regulating the distance, a second flexible strap, which covers the foot in the area of the arch and whose ends are attached to the first flexible strap on the opposite sides of the article, an element of the tips of the toes - a plantar element in the shape of a cross, the three arms of which are spatially bent towards each other, which cover the foot in the area of the tip of the toes and which are connected to each other via fastening elements, and the fourth end is designed freely and is located under the foot along its entire length, while there are two elastic couplings, which connect the corresponding first and second flexible belt with the element of the tips of the toes-the sole element in the area of the tips of the toes with the possibility of regulating the distance between them, while the aid has a fifth module, which represents at least one means of correction of the upper limb, made with the possibility of fixing the shoulder and forearm in a given position while allowing freedom of movement of the elbow joint, while the means of correction of the upper limb contains the first and second spatial bent flexible tape, with which it is covered the upper limb, correspondingly above the elbow joint and below the elbow joint and fixed in that place with the possibility of regulating the distance via the fastening elements, which are located at one end of each of the spatially bent flexible strips, while the flexible strips are connected in the area of the forearm by opposite longitudinal edges, while there is a flexible element of the hand, ergonomically adapted for fixing on the palm and for separating the thumb of the upper limb in the shape of the letter V and a means of fixing on the hand with the possibility of regulating the force tensioning of the flexible element of the hand, which is connected to another flexible strip via at least one elastic coupling that connects the flexible element of the hand to the other flexible strip, whereby at the ends of the elastic coupling there are connecting means, which regulate the tension of that coupling at the point of its connection with the flexible element of the hand and the other flexible strip, whereby the outer surface of each module is made of "Velcro-hedgehog" material, which is adapted for the application of "buckle" type connection Velcro", corrective-rotational elements respectively connect the second, third and fourth modules with the possibility of their separation and the first module with the fifth module with the possibility of their separation, and each corrective-rotational element is made in the form of a strip of elastic material with a relative stretch of 5 to 50% while enabling the correction of the user's movement during its movement and has connection means, which regulate the tension of the corrective-rotational elements at each point of their connection with each module and which have an adhesive surface, adapted to enable connection of the type "fastening Velcro" with the external surface of the module at any point of that surface depending on the pathology of the user.
Pri tome celishodno je da svaki pomenuti korektivno-rotacioni elemenat poseduje sredstvo za promenu njegove dužine. At the same time, it is expedient that each mentioned corrective-rotational element has a means for changing its length.
Pronalazak koji se prijavljuje obezbeđuje uslove za fiksiranje kičme korisnika u korigovanom položaju, kao i za njegovo rasterećenje i trakciju kod dijagnoze obolelog od paralizne skolioze, bolesti Šaermana-Mau, traumatskog oštećenja tela pršljenova, kod tipičnih "grbavih" leđa, kod dečije cerebralne paralize, osteohondroze kičmenog stuba i drugih analognih obolenja. The reported invention provides conditions for fixing the spine of the user in a corrected position, as well as for its relief and traction in the diagnosis of paralytic scoliosis, Scheerman-Mau disease, traumatic damage to the vertebral bodies, typical "hunchback" backs, cerebral palsy, osteochondrosis of the spinal column and other similar diseases.
Pomagalo koje se predlaže, zahvaljujući ostvarenoj mehaničkoj korekciji sprege bez primene opterećenja na kičmu doprinosi otklanjanju uticaja zakasnelih-toničkih refleksa na račun rastavljanja ramena i njihove čvrste fiksacije u tom položaju. Pronalazak koji se predlaže omogućava reflektorno smanjenje patološkog tonusa grudnih mišića i mišića karličnog i ramenskog pojasa, reflektorno smanjenje tonusa donjih ekstremiteta i na taj način se omogućava jačanje i fiksiranje maksimalnog fiziološkog položaja gornjih i donjih ekstremiteta u ramenskom zglobu, zglobu lakta, radiokarpusnom sglobu, karlično-bedrenom zglobu, zglobu kolena, skočnom zglobu i zglobovima stopala u stanju mirovanja i dinamičnom stanju. Osim toga pronalazak koji se predlaže omogućava normalizaciju tonusa mišića i povećanje mišićne snage i izdržljivosti, a koji se mogu oceniti kao posledica trenažne funkcije prijavljenog pomagala. The proposed aid, thanks to the realized mechanical correction of the coupling without applying load on the spine, contributes to the elimination of the influence of delayed-tonic reflexes at the expense of disassembling the shoulders and their firm fixation in that position. The proposed invention enables a reflective reduction of the pathological tone of the chest muscles and the muscles of the pelvic and shoulder girdle, a reflective reduction of the tone of the lower extremities, and in this way it is possible to strengthen and fix the maximum physiological position of the upper and lower extremities in the shoulder joint, elbow joint, radiocarpal joint, pelvic-femoral joint, knee joint, ankle joint and foot joints in a resting and dynamic state. In addition, the proposed invention enables the normalization of muscle tone and an increase in muscle strength and endurance, which can be evaluated as a consequence of the training function of the reported device.
Pronalazak koji se predlaže ne predviđa stvaranje jedinstvenog felskibilnog kostura za telo korisnika, čime se otklanjaju sve gore navedene negativne posledice njegovog prisustva. Pri tome svaki modul predloženog pronalaska obavlja svoju funkciju dostizanja postavljenih ciljeva u pronalasku, naprimer, reklinator, koji je izveden u skladu sa pronalaskom, je predviđen za formiranje pravilnog držanja, a korektivni korset, izveden u skladu sa pronalaskom, omogućava korekciju kičme bez primene opterećenja na njoj, kompleksna bandaža bedra i potkolenice i korektivno pomagalo za skočni zglob i nožne prste, izvedeno u skladu sa pronalaskom, omogućava da se koriste istovremeno sa predloženim pomagalom i druga poznata korektivna pomagala. The proposed invention does not provide for the creation of a unique flexible skeleton for the user's body, which eliminates all the above-mentioned negative consequences of its presence. At the same time, each module of the proposed invention performs its function of achieving the goals set in the invention, for example, the recliner, which is performed in accordance with the invention, is designed to form a correct posture, and the corrective corset, performed in accordance with the invention, enables the correction of the spine without applying a load on it, the complex bandage of the thighs and lower legs and the corrective aid for the ankle joint and toes, performed in accordance with the invention, allows them to be used simultaneously with the proposed aid and others known corrective aids.
Pomagalo poseduje peti modul za povećanje funkcionalnih mogućnosti predloženog pronalaska, konkretno za lečenje obolelih, naprimer, posle moždanog udara i dečije cerebralne paralize sa spastičnim tonusom mišića gornjih ekstremiteta, a koji je povezan sa prvim modulom preko najmanje jednog korektivno-rotacionog elementa. The aid has a fifth module for increasing the functional capabilities of the proposed invention, specifically for the treatment of patients, for example, after a stroke and children with cerebral palsy with spastic muscle tone of the upper extremities, and which is connected to the first module via at least one corrective-rotational element.
Konstruktivna izvedba petog modula omogućava istovremenu korekciju patologije celog gornjeg ekstremiteta, zadržavajući pri tom slobodu pokreta zgloba lakta. The constructive performance of the fifth module enables the simultaneous correction of the pathology of the entire upper extremity, while maintaining the freedom of movement of the elbow joint.
Radi proširenja funkcionalnih potencijala predloženog pomagala, konkretno za lečenje, naprimer, obolelih posle trauma velikog mozga ili kod trauma raznih delova kičme, predloženo pomagalo može da poseduje sredstvo, prilagođeno za postavljanje u predelu grudne kosti i/ili sredstvo prilagođeno za postavljanje u predelu venerinog brega, i/ili sredstvo koje predstavlja pomagalo za korekciju vratnog dela kičme. In order to expand the functional potential of the proposed device, specifically for the treatment of, for example, those suffering from brain trauma or with trauma to various parts of the spine, the proposed device can have a device adapted for placement in the sternum area and/or a device adapted for placement in the area of the vena cava, and/or a device that represents an aid for the correction of the cervical part of the spine.
Prisustvo sredstva za promenu dužine svakog korektivno-rotacionog elementa omogućava da se koristi jedno isto predloženo pomagalo kod različitih starosnih grupa korisnika, kao i da se poveća ili smanji opterećenje u procesu primene pomagala. The presence of a means for changing the length of each corrective-rotational element makes it possible to use one and the same proposed aid with different age groups of users, as well as to increase or decrease the load in the process of applying the aid.
Pri tome traka reklinatora može biti različite Širine, uključujući dovoljnu za foimiranje prsluka. At the same time, the recliner strip can be of different widths, including enough to form a vest.
U skladu sa pronalaskom, spoljašnja površina konstruktivnih komponenti pomagala je izvedena od materijala koji odgovara prvoj površini kopčanja "Velkro", pri tome svaki elemenat pričvršćivanja poseduje površinu koja predstavlja odgovor na površinu kopčanja "Velkro". In accordance with the invention, the outer surface of the constructive components of the aid is made of a material that corresponds to the first surface of the "Velcro" fastener, while each fastening element has a surface that corresponds to the surface of the "Velcro" fastener.
Navedeno konstruktivno rešenje povećava univerzalnost predloženog pomagala i omogućava da se pomagalo koristi u lečenju velikog broja različitih patologija, a tokom procesa lečenja, bez skidanja istog, da se menja položaj pojedinih modula i elemenata modula jedan u odnosu na drugog u zavisnosti od toka bolesti i prisutnog efekta lečenja, koje omogućava da se jedno isto pomagalo koristi u procesu lečenja, bez pribegavanju korišćenja drugih pomagala, čime se znatno povećava njegov funkcionalni potencijal. The aforementioned constructive solution increases the universality of the proposed aid and allows the aid to be used in the treatment of a large number of different pathologies, and during the treatment process, without removing it, to change the position of individual modules and module elements in relation to each other depending on the course of the disease and the present treatment effect, which allows the same aid to be used in the treatment process, without resorting to the use of other aids, which significantly increases its functional potential.
Predloženo pomagalo se može koristiti zajedno sa drugim poznatim ortopedskim sredstvima kojima se reguliše položaj, naprimer prstiju noge ili ruke, ili vrata ili glave. The proposed aid can be used together with other known orthopedic devices that regulate the position, for example of the toes or the hands, or the neck or the head.
Pri tome primena predloženog pronalaska omogućava da se obavi korekcija koja ima kompleksni karakter, koji se sastoji od kombinovanog smanjenja opterećenja na kičmu i stvaranja korektivnih doziranih opterećenja, usmerenih na gornje i donje ekstremitete. At the same time, the application of the proposed invention makes it possible to carry out a correction that has a complex character, which consists of a combined reduction of the load on the spine and the creation of corrective dosed loads, aimed at the upper and lower extremities.
Kratak opis crteža Brief description of the drawing
Za bolje razumevanjc pronalaska dole su navedeni konkretni primeri izvedbe u kojima se poziva na crteže iz priloga, na kojima se nalazi sledeće : Crt. 1. prikazuje predloženo pomagalo, izvedeno u skladu sa pronalaskom, izometrija, prva vari janta izvedbe; For a better understanding of the invention, concrete examples of implementation are listed below, in which reference is made to the attached drawings, which contain the following: Fig. 1. shows the proposed aid, performed in accordance with the invention, isometric, the first version of the implementation;
Crt. 2. predloženo pomagalo, izvedeno u skladu sa pronalaskom, izometrija, druga varijanta izvedbe; Drawing 2. proposed aid, performed in accordance with the invention, isometric, second version of the implementation;
Crt. 3. predloženo pomagalo, izvedeno u skladu sa pronalaskom, izometrija, treća varijanta izvedbe; Drawing 3. proposed aid, performed in accordance with the invention, isometry, third version of the implementation;
Crt. 4. predloženo pomagalo, izvedeno u skladu sa pronalaskom, izometrija, četvrta varijanta izvedbe; Drawing 4. the proposed aid, performed in accordance with the invention, isometric, fourth variant of execution;
Crt. 5. predloženo pomagalo za lečenje obolelih sa oštećenjem funkcije donjih ekstremiteta, izvedeno u skladu sa pronalaskom, izometrija; Drawing 5. proposed aid for the treatment of patients with impaired function of the lower extremities, performed in accordance with the invention, isometry;
Crt. 6. predloženo pomagalo za lečenje obolelih sa oštećenjem funkcije gornjih ekstremiteta, izvedeno u skladu sa pronalaskom, izometrija; Drawing 6. proposed aid for the treatment of patients with impaired function of the upper extremities, performed in accordance with the invention, isometry;
Crt. 7. predloženo pomagalo za lečenje obolelih sa oštećenjem funkcije mišića u predelu ramenskog pojasa, izvedeno u skladu sa pronalaskom, izometrija; Drawing 7. proposed aid for the treatment of patients with impaired muscle function in the area of the shoulder girdle, performed in accordance with the invention, isometry;
Crt. 8. varijante pričvršćivanja korektivno-rotacionih elemenata za spoljašnju površinu bilo kog modula, izvedene u skladu sa pronalaskom, izometrija; Drawing 8. variants of fixing the corrective-rotational elements to the outer surface of any module, performed in accordance with the invention, isometrics;
Crt. 9. korektivno-rotacioni element sa sredstvom za promenu njegove dužine, izveden u skladu sa pronalaskom, izometrija. Drawing 9. Corrective-rotational element with means for changing its length, made in accordance with the invention, isometric.
Najbolja varijanta realizacije pronalaska The best variant of the realization of the invention
Predloženo pomagalo za lečenje obolelih sa posledicama oštećenja centralnog nervnog sistema i/ili povredama lokomotornog aparata tela, u skladu sa pronalaskom se sastoji od rx>jeđinaćnih modula A, B, C, D, E (crt. 1, 2, 3, 4, 5, 6, 7), izvedenih uz mogućnost samostalne (autonomne) primene i ne predviđa stvaranje jedinstvenog fleksibilnog kostura za telo korisnika (korisnik na crtežu nije prikazan). U različitim varijantama izvedbe ovog pronalaska može se koristiti različita kombinacija navedenih modula, što zavisi od patologije konkretnog korisnika. Pri tome u procesu obavljanja lečenja uz primenu predloženog pomagala može se izvršiti pramena položaja modula jednog u odnosu na drugi ili zamena bilo kog modula. The proposed aid for the treatment of patients with the consequences of damage to the central nervous system and/or injuries to the locomotor apparatus of the body, according to the invention, consists of rx>unique modules A, B, C, D, E (fig. 1, 2, 3, 4, 5, 6, 7), made with the possibility of independent (autonomous) application and does not provide for the creation of a unique flexible skeleton for the user's body (the user is not shown in the drawing). In different variants of the implementation of this invention, a different combination of the mentioned modules can be used, which depends on the pathology of the specific user. At the same time, in the process of performing the treatment with the application of the proposed aid, it is possible to adjust the position of one module in relation to the other or to replace any module.
Prvi modul A vrši reklinaciju u predelu ramenskog pojasa korisnika, tj. formiranje pravilnog držanja. On predstavlja reklinator 1 (crt. 1, 2, 3. 7) za gornji deo telakorisnika, koji sadrži prvu i drugu fleksibilnu traku 2, od kojih svaka poseduje prvi kraj 3, i ti krajevi 3 su spojeni međusobno preko elemenata za pričvršćivanje 4 uz mogućnost regulisanja razmaka među njima i postavljanja na leđa korisnika. U svojstvu elemenata za pričvršćivanje 4 mogu se koristiti bilo koji poznati elementi za pričvršćivanje, predviđeni za analogne ciljeve, naprimer, izvedeni u vidu zatvarača . Svaka od fleksibilnih traka 2 je izvedena savijena u prostom i vidu petlje, a drugi krajevi 5 svake fleksibilne trake 2 su čvrsto pričvršćeni na navedenoj traki 2 u blizini elemenata za pričvršćivanje 4, tako da se formira prva i druga naramenica, a svakom od njih se obuhvata odgovarajući ramenski zglob tela korisnika. Svaka fleksibilna traka 2 reklinatora 1 može imati širinu dovoljnu da se formira prsluk. The first module A reclines in the area of the user's shoulder girdle, i.e. formation of proper posture. It represents a recliner 1 (fig. 1, 2, 3, 7) for the upper part of the body user, which contains a first and a second flexible strap 2, each of which has a first end 3, and these ends 3 are connected to each other via fastening elements 4 with the possibility of regulating the distance between them and placing them on the back of the user. In the capacity of fastening elements 4, any known fastening elements, designed for similar purposes, for example, made in the form of fasteners, can be used. Each of the flexible strips 2 is made bent in a simple loop form, and the other ends 5 of each flexible strip 2 are firmly attached to said strip 2 near the fastening elements 4, so that the first and second shoulder straps are formed, and each of them includes the corresponding shoulder joint of the user's body. Each flexible strip 2 of the recliner 1 may have a width sufficient to form a vest.
Drugi modul B predstavlja sredstvo korekcije srednjeg dela tela korisnika, nalazi se u lumbalnom predelu i prilagođeno je za korekciju kičme bez vertikalnog opterećenja. Predloženo sredstvo korekcije srednjeg dela tela korisnika predstavlja korset 6, koji poseduje složenu profilisanu formu koja omogućava korekciju kičme bez opterećenja. Pri tome korset 6 poseduje prvi deo 7 kojim se obuhvata telo korisnika u lumbalnom predelu i drugi deo 8, kojim se pokrivaju leđa u predelu lopatica korisnika. Navedeni delovi 7 i 8 izvedeni su kao jedna celina. Pri tome prvi deo 7 poseduje sredstvo 9 za njegovo fiksiranje na telu korisnika u poprečnom smeru. The second module B is a means of correcting the middle part of the user's body, it is located in the lumbar area and is adapted for correcting the spine without vertical load. The proposed means of correcting the middle part of the user's body is the corset 6, which has a complex profiled shape that enables the correction of the spine without loading. In addition, the corset 6 has a first part 7 that covers the body of the user in the lumbar region and a second part 8 that covers the back in the region of the shoulder blades of the user. The aforementioned parts 7 and 8 are performed as a single unit. At the same time, the first part 7 has means 9 for fixing it on the user's body in the transverse direction.
U drugoj varijanti izvedbe predloženo sredstvo korekcije srednjeg dela tela korisnika može imati samo jedan deo 10 (crt. 4.), koji predstavlja korset 11 , koji poseduje složenu profilisanu formu, koja omogućava korekciju kičme bez vertikalnog opterećenja, kojim se obuhvata pomenuto telo korisnika u lumbalnom predelu i koji poseduje sredstvo 12 za njegovo fiksiranje na pomenutom telu korisnika u poprečnom smeru. In another embodiment, the proposed means of correcting the middle part of the user's body can have only one part 10 (Fig. 4), which is a corset 11, which has a complex profiled shape, which enables the correction of the spine without vertical load, which covers the mentioned body of the user in the lumbar region and which has a means 12 for fixing it on the mentioned body of the user in the transverse direction.
Pri tome pomagalo može da sadrži savitljivu ploču 13 kojom se pokriva deo pomenutih leđa korisnika u predelu lopatica, a koja se stavlja između reklinatora 1 i kičme korisnika. Spoljašnja površina ploče 13 je napravljena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro", i predviđena je za spajanje sa prvom i drugom trakom reklinatora 1. na unutrašnjoj strani svake od njih sc nalazi lepljiva površina, prilagođena za omogućavanje spajanja tipa "kopčanje Velkro" sa pomenutom spoljašnjom površinom navedene ploče 13. Pri tome u donjem delu savitljive ploče 9 postoji sredstvo spajanja 14 predviđeno za spajanje sa navedenim drugim modulom B, koji mora imati sredstvo spajanja 15, izvedeno uz mogućnost spajanja sa sredstvom spajanja 14 savitljive ploče 13. In doing so, the aid may contain a flexible plate 13 which covers part of the mentioned back of the user in the area of the shoulder blades, and which is placed between the recliner 1 and the spine of the user. The outer surface of the plate 13 is made of "Velcro-hedgehog" material, which is adapted for the application of the connection of the "Velcro fastening" type, and is intended for connection with the first and second strips of the recliner 1. on the inner side of each of them there is an adhesive surface, adapted for enabling the connection of the "Velcro fastening" type with the mentioned outer surface of the said plate 13. At the same time, in the lower part of the flexible plate 9, there is a means of connection 14 intended for connecting with the said second module B, which must have a connecting means 15, made with the possibility of connecting with the connecting means 14 of the flexible plate 13.
Pri tome korset može biti izveden u bilo kojoj drugoj poznatoj konstrukciji, predviđenoj da omogući korekciju kičme bez primene vertikalnog opterećenja na istu, naprimer, korset "Bekkera". At the same time, the corset can be made in any other known construction, designed to enable the correction of the spine without applying a vertical load to it, for example, the "Bekkera" corset.
Kod ponuđenog pomagala zavisno od patologije korisnika može biti primenjeno sredstvo F za postavljanje u predelu grudne kosti i/ili sredstvo G za postavljanje u predelu venerinog brega, i/ili sredstvo, koje predstavlja pomagalo za korekciju vratnog dela kičme (na crtežu nije prikazano), ili bilo koje drugo poznato sredstvo, koje dopunjuje predloženo pomagalo. With the offered device, depending on the pathology of the user, device F can be used for placement in the area of the sternum and/or device G for placement in the area of the clavicle, and/or a device that represents an aid for the correction of the cervical part of the spine (not shown in the drawing), or any other known device that complements the proposed device.
Treći modul C predstavlja najmanje jedno sredstvo 16 korekcije bedra i potkolenice donjeg ekstremiteta navedenog tela korisnika, izvedeno uz mogućnost fiksiranja navedenog bedra i potkolenice u zadatom položaju uz omogućavanje slobode pokreta zgloba kolena dole navedenog ekstremiteta. Moraju biti dva navedena modula u slučaju da kod korisnika postoji patologija oba donja ekstremiteta. The third module C represents at least one means 16 of correcting the thigh and lower leg of the lower limb of the specified body of the user, performed with the possibility of fixing the specified thigh and lower leg in a given position while allowing freedom of movement of the knee joint of the lower limb. There must be two listed modules in case the user has pathology in both lower extremities.
Sredstvo 16 korekcije bedra i potkolenice navedenog donjeg ekstremiteta navedenog tela korisnika sadrži: prvu fleksibilnu bandažu 17, kojom se obuhvata navedeni donji ekstremitet iznad njegovog navedenog zgloba kolena i koji poseduje prvi kraj, drugi kraj i uzdužnu ivicu koja ima srednji deo; drugu fleksibilnu bandažu 18, kojom se obuhvata navedeni donji ekstremitet ispod pomenutog zgloba kolena i koja poseduje prvi kraj, drugi kraj i uzdužnu ivicu, koja se nalazi nasuprot navedene uzdužne ivice navedene prve fleksibilne bandaže 17 i koja ima srednji deo čvrsto spojen sa navedenim srednjim delom navedene uzdužne ivice navedene prve fleksibilne bandaže 17; mesto 19 spajanje navedenih srednjih delova navedenih suprotnih uzdužnih ivica navedene prve i druge fleksibilne bandaže 17, 18 , koje se nalazi u predelu potkolenice navedenog donjeg ekstremiteta; prvo sredstvo 20 uzajamnog delovanja (element pričvršćivanja) kojim se spajaju međusobno navedeni prvi kraj i navedeni drugi kraj navedene prve fleksibilne bandaže 17 za njeno fiksiranje iznad navedenog zgloba kolenauzmogućnost regulisanja razmaka između navedenih krajeva; drugo sredstvo 20 uzajamnog delovanja (element pričvršćivanja) kojim se spajaju međusobno navedeni prvi kraj i navedeni drugi kraj navedene druge fleksibilne bandaže 18 za njeno fiksiranje ispod navedenog zgloba kolena uz mogućnost regulisanja razmaka između navedenih krajeva. Means 16 for correcting the thigh and lower leg of said lower extremity of said user's body comprises: a first flexible bandage 17, which covers said lower extremity above said knee joint thereof and which has a first end, a second end and a longitudinal edge having a middle part; a second flexible bandage 18, which includes said lower extremity below said knee joint and which has a first end, a second end and a longitudinal edge, which is located opposite said longitudinal edge of said first flexible bandage 17 and which has a middle part firmly connected to said middle part of said longitudinal edge of said first flexible bandage 17; place 19 joining of said middle parts of said opposite longitudinal edges of said first and second flexible bandages 17, 18, which is located in the region of the lower leg of said lower extremity; first mutual action means 20 (fastening element) by which the first end and the second end of the first flexible bandage 17 are connected to each other for fixing it above the knee joint, enabling the distance between the ends to be regulated; second mutual action means 20 (fastening element) by which the first end and the second end of the second flexible bandage 18 are connected to each other for fixing it under the knee joint with the possibility of regulating the distance between the ends.
Četvrti modul D predstavlja najmanje jedno sredstvo 21 korekcije skočnog zgloba i prstiju donjeg ekstremiteta navedenog tela korisnika, izvedeno uz mogućnost fiksiranja stopala navedenog donjeg ekstremiteta u odnosu na skočni zglob u frontalnoj i sagitalnoj ravni uz omogućavanje slobode pokreta skočnog zgloba. Moraju biti dva navedena modula u slučaju da kod korisnika postoji patologija oba donja ekstremiteta. Sredstvo 21 korekcije skočnog zgloba i prstiju donjeg ekstremiteta sadrži prvi fleksibilni kaiš 22, kojim se obuhvata članak navedenog donjeg ekstremiteta i drugi fleksibilni kaiš 23 kojim se obuhvata stopalo u predelu njegovog uzdužnog svoda. Prvi fleksibilni kaiš 22 poseduje sredstvo 24 uzajamnog delovanja, kojim se spajaju međusobno krajevi prvog fleksibilnog kaiša 22 za njegovo fiksiranje na članku uz mogućnost regulisanja razmaka između tih krajeva. Krajevi drugog fleksibilnog kaiša 23 su pričvršćeni preko elemenata za pričvršćivanje 25 na prvi fleksibilni kaiš 22 sa suprotnih bočnih strana članka. Sredstvo 21 takodje poseduje elemenat vrhova prstiju-tabanski elemenat 26 u obliku krsta, koji ima prvi, drugi, treći i četvrti kraj 27, 28, 29, 30 od toga na prvom, drugom i trećem 27, 28, 29 postoje elementi pričvršćivanja 31. Prvi, drugi i treći kraj 27, 28, 29 , koji su prostorno savijeni jedan prema drugome, obuhvataju stopalo u predelu vrhova prstiju donjeg ekstremiteta i međusobno su spojeni preko elemenata za pričvršćivanje 31. Četvrti kraj 30 je izveden slobodno i postavljen je ispod navedenog stopala ćelom njegovom dužinom, uključujući petu. Pri tome postoje dve elastične sprege 32, kod kojih svaka spaja odgovarajuće prvi i drugi fleksibilni kaiš 22, 23 sa elementom vrhova prstiju-tabanskim elementom 26 u predelu vrha prstiju uz mogućnost regulisanja razmaka između njih. The fourth module D represents at least one means 21 of the correction of the ankle joint and the fingers of the lower limb of the specified body of the user, performed with the possibility of fixing the foot of the specified lower limb in relation to the ankle joint in the frontal and sagittal plane while allowing freedom of movement of the ankle joint. There must be two listed modules in case the user has pathology in both lower extremities. The means 21 of the correction of the ankle joint and the fingers of the lower limb contains the first flexible belt 22, which covers the ankle of the mentioned lower limb and the second flexible belt 23, which covers the foot in the region of its longitudinal arch. The first flexible belt 22 has a means 24 of mutual action, which connects the ends of the first flexible belt 22 to each other for its fixation on the article with the possibility of regulating the distance between those ends. The ends of the second flexible belt 23 are attached via fastening elements 25 to the first flexible belt 22 on opposite sides of the article. Means 21 also has an element of the tips of the fingers - a sole element 26 in the shape of a cross, which has first, second, third and fourth ends 27, 28, 29, 30 of which there are fastening elements 31 on the first, second and third 27, 28, 29. The first, second and third ends 27, 28, 29, which are spatially bent towards each other, include the foot in the region of the tips fingers of the lower limb and are connected to each other via fastening elements 31. The fourth end 30 is made free and is placed under the said foot along its entire length, including the heel. There are two elastic couplings 32, each of which connects the corresponding first and second flexible straps 22, 23 with the toe-tip-sole element 26 in the toe area with the possibility of regulating the distance between them.
Sredstvo uzajamnog delovanja 20, 24 i elementi pričvršćivanja 25, 31 mogu biti izvedeni u bilo kojoj poznatoj konstrukciji, koja je predviđena u analogne svrhe. The interaction means 20, 24 and the fastening elements 25, 31 can be made in any known construction, which is intended for analogous purposes.
Osim toga, predloženo pomagalo sadrži mnogobrojne korektivno-rotacione elemente 33, koji redom spajaju drugi, treći i četvrti modul uz mogućnost njihovog razdvajanja. Količina korektivno-rotacionih elemenata 33 zavisi od patologije korisnika. Naprimer, na crt. 1. i crt. 2. su prikazana predložena pomagala, kod kojih u svakom postoje po četiri korektivno-rotaciona elementa 33 predviđenih za spajanje drugog i trećeg modula, na crt. 3. je prikazano predloženo pomagalo koje ima jedan korektivno-rotacioni elemenat 33, predviđen za spajanje drugog i trećeg modula, a na crt. 4. je prikazano predloženo pomagalo, koje ima pet korektivno-rotacionih elemenata 33 predviđenih za spajanje drugog i trećeg modula. In addition, the proposed aid contains numerous corrective-rotational elements 33, which respectively connect the second, third and fourth modules with the possibility of their separation. The amount of corrective-rotational elements 33 depends on the user's pathology. For example, on fig. 1. and crt. 2. the proposed aids are shown, in each of which there are four corrective-rotational elements 33 intended for connecting the second and third modules, in fig. 3 shows the proposed aid that has one corrective-rotational element 33, intended for connecting the second and third modules, and in fig. 4 shows the proposed aid, which has five corrective-rotational elements 33 intended for connecting the second and third modules.
Osim toga, kod odgovarajuće patologije korisnika predloženo pomagalo može da sadrži najmanje jedno sredstvo 34 korekcije gornjeg ekstremiteta navedenog tela korisnika, koje obavlja funkciju petog E modula, izvedenog uz mogućnost fiksiranja ramena i podlaktice gornjeg ekstremiteta u zadatom položaju uz omogućavanje slobode pokreta zgloba lakta. Kada kod korisnika postoji patologija kod oba gornja ekstremiteta moraju postojati dva takva sredstva 34. In addition, with the appropriate pathology of the user, the proposed aid can contain at least one means 34 of correction of the upper extremity of the specified body of the user, which performs the function of the fifth E module, performed with the possibility of fixing the shoulder and forearm of the upper extremity in a given position while allowing freedom of movement of the elbow joint. When the user has pathology in both upper extremities, there must be two such means 34.
Sredstvo (34) korekcije gornjeg ekstremiteta sadrži prvu prostorno savijenu fleksibilnu traku 35, kojom se obuhvata gornji ekstremitet iznad zgloba lakta i koji poseduje prvi kraj, drugi kraj i uzdužnu ivicu koja ima srednji deo; drugu prostorno savijenu fleksibilnu traku 36, kojom se obuhvata gornji ekstremitet ispod zgloba lakta i koja poseduje prvi kraj, drugi kraj i uzdužnu ivicu, koja se nalazi nasuprot uzdužne ivice prve fleksibilne trake 35 i koja ima srednji deo, spojen sa srednjim delom uzdužne ivice prve fleksibilne trake 35; mesto spajanje srednjih delova suprotnih uzdužnih ivica prve i druge fleksibilne trake 35, 36 , koje se nalazi u predelu podlaktice navedenog gornjeg ekstremiteta; prvo sredstvo uzajamnog delovanja 37, kojim se spajaju međusobno prvi kraj i drugi kraj prve fleksibilne trake 35 za fiksiranje prve fleksibilne trake 35 iznad zgloba lakta uz mogućnost regulisanja razmaka između navedenih krajeva; drugo sredstvo uzajamnog delovanja 37, kojim se spajaju međusobno prvi kraj i drugi kraj druge fleksibilne za fiksiranje druge fleksibilne trake 36 ispod zgloba lakta uz mogućnost regulisanja razmaka između navedenih krajeva; fleksibilni elemenat šake 38, ergonomski prilagođen za fiksiranje na dlanu i razdvajanje palca gornjeg ekstremiteta u obliku slova V, prvi kraj i drugi kraj od kojih svaki poseduje sredstvo fiksacije 39 na šaci gornjeg ekstremiteta uz mogućnost regulisanja sile zatezanja fleksibilnog elementa šake 38; najmanje jednu elastičnu spregu 40 izvedenu analogno izvedbi korektivno-rotacionih elemenata 33 i koja spaja fleksibilni elemenat 38 šake sa drugom fleksibilnom trakom 36 i poseduje prvi kraj i drugi kraj; sredstvo 41 spajanja, koje postoji na prvom i drugom kraju elastične sprege 40, kojim se reguliše zatezanje navedene sprege 22 na mestu njenog spajanja sa fleksibUnim elementom šake 28 i drugom fleksibilnom trakom 26. The upper extremity correction means (34) comprises a first spatially bent flexible strip 35, which embraces the upper extremity above the elbow joint and which has a first end, a second end and a longitudinal edge having a middle part; the second spatially bent flexible strip 36, which includes the upper limb below the elbow joint and which has a first end, a second end and a longitudinal edge, which is located opposite the longitudinal edge of the first flexible strip 35 and which has a middle part, connected to the middle part of the longitudinal edge of the first flexible strip 35; the place where the middle parts of the opposite longitudinal edges of the first and second flexible strips 35, 36 are joined, located in the area of the forearm of the mentioned upper extremity; first means of mutual action 37, by which the first end and the second end of the first flexible strip 35 are connected to each other for fixing the first flexible strip 35 above the elbow joint with the possibility of regulating the distance between said ends; second means of mutual action 37, by which the first end and the second end of the second flexible for fixing the second flexible tape 36 under the elbow joint are connected to each other with the possibility of regulating the distance between the said ends; flexible hand element 38, ergonomically adapted for fixing on the palm and separating the thumb of the upper limb in the form of the letter V, the first end and the second end of which each has a means of fixation 39 on the hand of the upper limb with the possibility of regulating the tension force of the flexible hand element 38; at least one elastic coupling 40 performed analogously to the corrective-rotation elements 33 and which connects the flexible element 38 of the hand with the second flexible strip 36 and has a first end and a second end; connecting means 41, which exists at the first and second ends of the elastic coupling 40, which regulates the tension of said coupling 22 at the point of its connection with the flexible element of the hand 28 and the second flexible strip 26.
Peti modul E je spojen uz mogućnost razdvajanja sa prvim modulom A preko korektivno-rotacionih elemenata 33, izvedenih analogno gore opisanim. Količina tih korektivno-rotacionih elemenata 33 zavisi od patologije korisnika. Naprimer, na crt. 2. je prikazano predloženo pomagalo koje poseduje dva korektivno-rotaciona elementa 33, predviđena za spajanje svakog petog i prvog modula, na crt. 3. je prikazano predloženo pomagalo, koje poseduje jedan korektivno-rotacioni element 33, predviđen za spajanje prvog i petog modula, a na crt. 4. je prikazano predloženo pomagalo koje poseduje dva korektivno-rotaciona elementa 33, predviđena za spajanje petog i prvog modula. The fifth module E is connected with the possibility of separation with the first module A via corrective-rotational elements 33, performed analogously to those described above. The quantity of these corrective-rotational elements 33 depends on the user's pathology. For example, on fig. 2 shows the proposed aid that has two corrective-rotational elements 33, intended for connecting every fifth and first module, on fig. 3 shows the proposed aid, which has one corrective-rotational element 33, intended for connecting the first and fifth modules, and in fig. 4 shows the proposed aid that has two corrective-rotational elements 33, intended for connecting the fifth and first modules.
Spoljašnja površina svakog modula je izvedena od "čičak-jež" materijala, koji je prilagođen za primenu spajanja tipa "kopčanje Velkro"; The outer surface of each module is made of "Velcro-hedgehog" material, which is adapted for the application of "Velcro fastening" type connections;
Svaki korektivno-rotacioni element 33 i svaka elastična sprega 40 su izvedeni u vidu trake od elastičnog materijala sa relativnim istezanjem od 5 do 50 % i omogućavaju korekciju pokreta korisnika tokom njegovog premeštanja i/ili funkcionisanja. Each corrective-rotational element 33 and each elastic coupling 40 are made in the form of a strip of elastic material with a relative stretch of 5 to 50% and enable the correction of the user's movement during its movement and/or functioning.
Svaki od korektivno-rotacionih elemenata 33 i svaka elastična sprega 40 predloženog pomagala je izvedena od materijala, koji se isteže i time omogućava korekciju koja odgovara patologiji korisnika, naprimer, od tkanine "Trikor" ili "Neopren". Each of the corrective-rotational elements 33 and each elastic coupling 40 of the proposed aid is made of a material that stretches and thus enables a correction that corresponds to the pathology of the user, for example, from fabric "Trikor" or "Neopren".
Na svakom korektivno-rotacionom elementu 33 postoje sredstva spajanja 41, kojima se reguliše zatezanje korektivno-rotacionih elemenata 33 na mestu njihovog spajanja sa svakim od modula. Pri tome svako sredstvo spajanja 41 ima lepljivu površinu, prilagođenu za omogućavanje spajanja tipa "kopčanje Velkro" na bilo kom mestu navedenih spoljašnjih površina svakog modula, zavisno od patologije korisnika. On each corrective-rotational element 33 there are connecting means 41, which regulate the tightening of the corrective-rotational elements 33 at the point of their connection with each of the modules. At the same time, each connecting means 41 has an adhesive surface, adapted to enable a connection of the "Velcro" type at any place of the mentioned external surfaces of each module, depending on the pathology of the user.
Navedeni korektivno-rotacioni elementi 33 mogu spajati module uz primenu sredstva za spajanje 41 neposredno, kao što je to već gore opisano. Ali spajanje može biti ostvareno preko fiksno-spojnih sredstava 42 od kojih je svako izvedeno od dva međusobno pričvršćena sloja. Spoljašnja površina prvog sloja od dva sloja je izvedena cd "čičak-jež" materijala, prilagođenog za primenu spajanja tipa "kopčanje Velkro", spoljašnja površina drugog sloja je izvedena kao lepljiva, prilagođena za primenu spajanja tipa "kopčanje Velkro". Svako fiksno-spojno sredstvo 42 poseduje najmanje jednu kopču 43. Pri tome svako sredstvo spajanja 41, koje postoji na svakom od korektivno-rotacionih elemenata 33, mora imati "čičak-jež" površinu, prilagođenu za omogućavanje spajanja tipa "kopčanje Velkro". Said corrective-rotational elements 33 can connect the modules with the application of the connecting means 41 directly, as already described above. But the connection can be achieved through fixed-connecting means 42, each of which is made of two layers attached to each other. The outer surface of the first layer of two layers is made of cd "Velcro-hedgehog" material, adapted for the application of "Velcro fastening" type connection, the outer surface of the second layer is made of adhesive, adapted for the application of "Velcro fastening" type connection. Each fixed-connecting means 42 has at least one clip 43. At the same time, each connecting means 41, which exists on each of the corrective-rotating elements 33, must have a "Velcro-hedgehog" surface, adapted to enable a connection of the "Velcro" type.
Pri tome svaki korektivno-rotacioni element 33 može imati sredstvo 44 za promenu njegove dužine. Navedeno sredstvo 44 može biti fiksator, izveden u vidu dva ovalna elementa. Ili ono može biti bilo koje druge poznate konstrukcije, predviđene za analogne ciljeve. At the same time, each corrective-rotational element 33 can have a means 44 for changing its length. Said means 44 can be a fixator, made in the form of two oval elements. Or it can be any other known construction, intended for analogous purposes.
Kao što je već gore navedeno, svaki od modula A, B, C, D, E predloženog pomagala, u zavisnosti od patologije korisnika može se koristiti autonomno, nezavisno od primene drugih modula. As already stated above, each of the modules A, B, C, D, E of the proposed aid, depending on the pathology of the user, can be used autonomously, independently of the application of other modules.
Naprimer, prvi modul A može se koristiti u svojstvu autonomnog pomagala 45 (crt. 7.) za lečenje obolelih sa oštećenjem funkcije mišića u predelu ramenskog pojasa. For example, the first module A can be used as an autonomous aid 45 (fig. 7) for the treatment of patients with impaired muscle function in the shoulder girdle area.
Treći i četvrti moduli C, D mogu se koristiti u svojstvu autonomnog pomagala 46 (crt. 5.) za lečenje obolelih sa oštećenjem funkcije donjih ekstremiteta. The third and fourth modules C, D can be used as an autonomous aid 46 (fig. 5) for the treatment of patients with impaired function of the lower extremities.
Peti modul E može se koristiti u svojstvu autonomnog pomagala 47 (crt. 6.) za lečenje obolelih sa oštećenjem funkcije gornjih ekstremiteta. The fifth module E can be used as an autonomous aid 47 (fig. 6) for the treatment of patients with impaired function of the upper extremities.
Predloženo pomagalo se primenjuje na sledeći način. The proposed aid is applied as follows.
Razmotrićemo varijantu, kada patologija korisnika zahteva primenu predloženog pomagala u celini, tj. predloženog pomagala, koje sadrži prvi, drugi, treći, četvrti i peti modul. Prvo se na korisnika stavlja prvi i drugi modul A, B, a zatim treći, četvrti i peti modul C, D, E. Pri tome drugi modul B u datom slučaju je osnova za postavljanje energetskih kola za donji ekstremitet. U zavisnosti od patologije korisnika i u vezi sa istom medicinskih indikacija određuje se količina i dužina korektivno-rotacionih elemenata 33, sa kojima se spajaju odgovarajući moduli. Zatim se preko korektivno-rotacionih elemenata 33 spajaju treći i četvrti modul C. D sa drugim modulom B a petimodul E sa prvim modulom A, gradeći time dozirana energetska kola na donjim i gornjim ekstremitetima. Količina i dužina korektivno-rotacionih elemenata 33, kojima se povezuju odgovarajući moduli, se određuje zavisno od dimenzija korisnika i postojeće njegove patologije. Koristeći sredstva spajanja 41 pričvršćuju se moduli po odabranoj šemi. We will consider the variant, when the user's pathology requires the application of the proposed aid as a whole, i.e. of the proposed aid, which contains the first, second, third, fourth and fifth modules. First, the first and second modules A, B are placed on the user, and then the third, fourth and fifth modules C, D, E. In this case, the second module B is the basis for placing energy circuits for the lower extremity. Depending on the pathology of the user and in connection with the same medical indications, the quantity and length of the corrective-rotational elements 33, with which the corresponding modules are connected, is determined. Then the third and fourth modules C. D are connected to the second module B and the fifth module E to the first module A through the corrective-rotational elements 33, thus building dosed energy circuits on the lower and upper extremities. The amount and length of the corrective-rotational elements 33, which connect the corresponding modules, is determined depending on the dimensions of the user and his existing pathology. Using the connecting means 41, the modules are attached according to the selected scheme.
Shodno medicinskim indikacijama istovremeno sa predloženim pomagalom mogu se koristiti i druga poznata ortopedska pomagala. Naprimer, mogu se koristiti različiti držači za glavu, naprimer, meki držači za glavu (analogije Šancove kragne) od različitih materijala kompaktnih, punjenih, pneumatskih i drugih konstrukcija. Osim toga mogu se koristiti različita pomagala za fiksiranje, naprimer, sa ortopedskom potplatom, papučicom ili ortopedskim aparatom, a koja se fiksiraju na ponuđenom pomagalu preko svojih elemenata za pričvršćivanje. Zatim se obavlja dinamička proba korisnika u kompletiranom proizvodu i po potrebi se obavija korekcija energetskih kola. U procesu primene predloženog pomagala po potrebi može biti izvršena korekcija dužine korektivno-rotacionih elemenata, a takođe može biti promenjeno mesto njihovog pričvršćivanja za spoljašnju površinu odgovarajućeg modula. According to medical indications, other known orthopedic aids can be used simultaneously with the proposed aid. For example, different head restraints can be used, for example, soft head restraints (Schanz collar analogies) of various materials of compact, filled, pneumatic and other constructions. In addition, different fixing aids can be used, for example, with an orthopedic sole, a shoe or an orthopedic device, which are fixed on the offered aid via their fastening elements. Then, the user's dynamic test is carried out in the completed product and, if necessary, the correction of the power circuits is carried out. In the process of applying the proposed aid, the length of the corrective-rotational elements can be corrected if necessary, and the place of their attachment to the outer surface of the corresponding module can also be changed.
Primer 1. Example 1.
Oboleli S. V., 32 godine. Patient S. V., 32 years old.
Dijagnoza : Kompresioni prelom Th12- L2pršljenova sa povredom kičmene moždine, spora pareza donjih ekstremiteta. Diagnosis: Compression fracture of Th12-L2 vertebrae with spinal cord injury, slow paresis of the lower extremities.
Prilikom pregleda obolelog konstatovana je hipotrofija mišića donjih ekstremiteta, refleksi spori . U ležećem položaju - ekvino-varusni položaj stopala. U vertikalnom položaju stopala u ravnom-valgusnom položaju. Zglobovi kolena se ne zatvaraju kvadricepnim mišićima. Funkcija sedalnih mišića izrazito oslabljena. Funkcija karličnih organa praktično očuvana. Izrazite pojave postraumatske osteohondroze. During the examination of the patient, hypotrophy of the muscles of the lower extremities, slow reflexes, was noted. In the supine position - equino-varus foot position. In a vertical position, the foot is in a flat-valgus position. The knee joints are not closed by the quadriceps muscles. The function of the saddle muscles is markedly weakened. The function of the pelvic organs is practically preserved. Distinct manifestations of post-traumatic osteochondrosis.
Ranije obavljeno lečenje po poznatim metodama bez izrazitog efekta. Previously performed treatment using known methods without significant effect.
Navedena patologija (prisustvo postraumatskog sindroma) ne daje mogućnost primene pomagala po patentu RF br. 2054907. obzirom da to pomagalo vrši uticaj na celokupni lokomotorni sistem korisnika, što je datom slučaju necelishodno . The mentioned pathology (presence of post-traumatic syndrome) does not allow the application of the aid according to RF patent no. 2054907. considering that the aid affects the entire locomotor system of the user, which is inexpedient in the given case.
Obolcli je prošao terapiju lečenja u trajanju od mesec dana uz primenu predloženog pomagala, koje je sadržalo prvi, drugi, treći i četvrti modul. Obolcli underwent a one-month treatment with the application of the proposed aid, which contained the first, second, third and fourth modules.
Seansa svake vežbe je trajala 60 minuta i uključivala je sledeće: hodanje sa pomagalom u trajanju od 20 minuta; kompleks medicinske fiskulture u uspravnom, sedećem, ležećem položaju u trajanju od 30 minuta. Each exercise session lasted 60 minutes and included the following: walking with an aid for 20 minutes; a complex of medical gymnastics in an upright, sitting, lying position for 30 minutes.
Obavljeno je 25 seansi u petodnevnim ciklusima sa prekidima na jedan dan. 25 sessions were performed in five-day cycles with breaks for one day.
Kao rezultat lečenja konstatovano je povećanje fizičke izdržljivosti i mišićne snage donjih ekstremiteta, smanjenje večernjeg umora i bola u leđima, znatno povećanje motorne i statičke funkcije. As a result of the treatment, an increase in physical endurance and muscle strength of the lower extremities, a decrease in evening fatigue and back pain, and a significant increase in motor and static function were noted.
Primer 2. Example 2.
Oboleli A. B. 12 godina Sufferers A. B. 12 years old
Dijagnoza: (postavljena u uzrastu od godinu dana) Dečija celebralna paraliza, spastična diplegija. Intelekt očuvan. Konstatovano izrazito oštećenje držanja tipa "grbava leđa" sa vrhom kifoze na visini Th8- Th10. Diagnosis: (established at the age of one year) Children's cerebral palsy, spastic diplegia. Intellect preserved. Pronounced "hunchback" type postural damage with the top of the kyphosis at the level of Th8-Th10 was noted.
Ranije je primenjeno medikamentozno, fizioterapeutsko, ortopedsko lečenje po poznatim metodama. Navedeno lečenje je imalo privremeni efekat sa recidivom koji je sledio u većem stepenu. Previously, medicinal, physiotherapeutic, orthopedic treatment was applied according to known methods. The said treatment had a temporary effect with a relapse that followed in a greater degree.
Obolelom je preporučena primena predloženog pomagala koje sadrži prvi, drugi, treći i četvrti modul. The patient is recommended to use the proposed aid, which contains the first, second, third and fourth modules.
Seansa svake vežbe je trajala 40 minuta i uključivala je sledeće: hodanje sa pomagalom u trajanju od 10 minuta; kompleks medicinske fiskulture u uspravnom, sedećem, ležećem položaju u trajanju od 20 minuta. Each exercise session lasted 40 minutes and included the following: walking with an aid for 10 minutes; a complex of medical gymnastics in an upright, sitting, lying position for 20 minutes.
Obavljeno je 20 seansi u petodnevnim ciklusima sa prekidima na dva dana. 20 sessions were performed in five-day cycles with two-day breaks.
Kao rezultat lečenja konstatovano je povećanje motorne i statičke funkcije obolelog i povećanje fizičke izdržljivosti. As a result of the treatment, an increase in the patient's motor and static function and an increase in physical endurance were noted.
Primer 3. Example 3.
Oboleli I. B., 52 godine. Patient I. B., 52 years old.
Dijagnoza : Jako oštećenje krvotoka mozga, hemipareza leve strane, proširena osteohondroza pršljenova, hernija diskusa L3, L4, L5pršljena. Diagnosis: severe impairment of cerebral blood flow, hemiparesis of the left side, extended osteochondrosis of vertebrae, herniated disc of L3, L4, L5 vertebra.
Ranije obavljeno lečenje po poznatim metodama bez značajnijeg kliničkog poboljšanja. Previously treated using known methods without significant clinical improvement.
Nije moguća primena pomagala po palentu RF br. 2054907, obzirom da postoji proširena ostehondroza, iskomplikovana radikularnom simptomatikom. It is not possible to apply aids according to RF No. 2054907, given that there is extensive osteochondrosis, complicated by radicular symptoms.
Obolelom je preporučena primena predloženog pomagala koje sadrži prvi, drugi, treći, četvrti i peti modul. The patient is recommended to use the proposed aid, which contains the first, second, third, fourth and fifth modules.
Seansa svake vežbe je trajala 45 minuta i uključivala je sledeće: hodanje sa pomagalom u trajanju od 15 minuta; kompleks medicinske fiskulture u uspravnom, sedećem, ležećem položaju u trajanju od 20 minuta. Each exercise session lasted 45 minutes and included the following: walking with an aid for 15 minutes; a complex of medical gymnastics in an upright, sitting, lying position for 20 minutes.
Vežbe su se održavale uz kontrolu arterijskog pritiska. Obavljeno je 20 seansi u petodnevnim ciklusima sa naizmenićnim prekidima od dva dana. Exercises were performed with arterial pressure control. 20 sessions were performed in five-day cycles with alternating interruptions of two days.
Kao rezultat lečenja konstatovano je smanjenje patološkog tonusa u velikom grudnom mišiću, koje je omogućilo da se poveća obim kretanja gornjih ekstremiteta, povećanje tonusa deltoidnog mišića, nestanak znakova subluksacije. U lumbalnom predelu je konstatovana tendencija smanjenja antalgične skolioze i subjektivno poboljšanje radikularne simptomatike. As a result of the treatment, a reduction of the pathological tone in the pectoralis major muscle was noted, which allowed for an increase in the range of motion of the upper extremities, an increase in the tone of the deltoid muscle, and the disappearance of signs of subluxation. In the lumbar region, a tendency to reduce antalgic scoliosis and a subjective improvement of radicular symptoms were noted.
Industrijska primena Industrial application
Ovaj pronalazak se može koristiti u neurologiji, neurohirurgiji, traumatologiji, ortopediji i kardiologiji, konkretno za lečenje obolelih od dečije cerebralne paralize, obolelih sa povredama kičme, uz moguće komplikacije povreda kičmene moždine, obolelih od osteohondrodistrofije, skolioze, kifoskolioze, obolelih sa posledicama od trauma velikog mozga i velikih oštećenja krvotoka mozga, kao i za rehabilitaciju kod obolenja kardiovaskularnog sistema. This invention can be used in neurology, neurosurgery, traumatology, orthopedics and cardiology, specifically for the treatment of children with cerebral palsy, patients with spinal injuries, with possible complications of spinal cord injuries, patients with osteochondrodystrophy, scoliosis, kyphoscoliosis, patients with the consequences of brain trauma and major damage to the blood flow of the brain, as well as for rehabilitation in cardiovascular system diseases.
Osim toga, predloženo pomagalo može da se koristi za korekciju držanja korisnika, kao i u svojstvu različite vrste trenažera kod obavljanja sportskih vežbi. In addition, the proposed aid can be used to correct the user's posture, as well as in the capacity of a different type of trainer when performing sports exercises.
Claims (18)
Applications Claiming Priority (1)
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Families Citing this family (73)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2851459B1 (en) * | 2003-02-21 | 2005-04-22 | Philippe Nicolas | ELASTIC CONTAINMENT ARRANGEMENT FOR PROVIDING A MOVEMENT OF ADDUCTION OF THE THIGHS OF A HUMAN BEING |
| US7871387B2 (en) | 2004-02-23 | 2011-01-18 | Tyco Healthcare Group Lp | Compression sleeve convertible in length |
| US7744511B2 (en) * | 2004-02-26 | 2010-06-29 | State Scientific Center of Russian Federation - Institute of Bio-Medical Problems of the Russian Academy of Sciences | Suit for forcedly modifying a human posture and producing an increased load on a locomotion apparatus |
| US20060054387A1 (en) * | 2004-08-17 | 2006-03-16 | Paul-Emile Fortin | Saftey harness |
| RU2266082C1 (en) * | 2004-12-10 | 2005-12-20 | Аверьянов Андрей Анатольевич | Device for carrying out neuro-orthopedic rehabilitation |
| CN101132753B (en) * | 2005-01-18 | 2011-06-29 | 加利福尼亚大学董事会 | lower extremity exoskeleton |
| NL1028782C2 (en) * | 2005-04-15 | 2006-10-17 | Inge Van Laarhoven | Orthosis for supporting user's leg during walking, has flexible connector extending in longitudinal direction of leg from foot engagement component to trunk engagement band or along front side of lower leg and rear side of upper leg |
| NL1031028C2 (en) * | 2005-04-15 | 2006-10-17 | Inge Van Laarhoven | Orthosis for supporting a user's leg while walking. |
| GB0515294D0 (en) | 2005-07-26 | 2005-08-31 | Novamedix Distrib Ltd | Limited durability closure means for an inflatable medical garment |
| US8029451B2 (en) | 2005-12-12 | 2011-10-04 | Tyco Healthcare Group Lp | Compression sleeve having air conduits |
| RU2339358C2 (en) * | 2005-12-26 | 2008-11-27 | Андрей Викторович Комкин | Method of therapy |
| RU2305534C1 (en) * | 2006-01-10 | 2007-09-10 | Государственное образовательное учреждение дополнительного профессионального образования "Новокузнецкий государственный институт усовершенствования врачей Федерального агентства по здравоохранению и социальному развитию" | Method of recovery of vertical position for handicapped persons suffering from affection in central nervous system |
| RU2309709C1 (en) * | 2006-01-27 | 2007-11-10 | Региональный Благотворительный Фонд "Реабилитация Ребенка, Центр Г.Н. Романова" | Module orthopedic apparatus |
| US8506508B2 (en) | 2007-04-09 | 2013-08-13 | Covidien Lp | Compression device having weld seam moisture transfer |
| US8016779B2 (en) | 2007-04-09 | 2011-09-13 | Tyco Healthcare Group Lp | Compression device having cooling capability |
| US8034007B2 (en) | 2007-04-09 | 2011-10-11 | Tyco Healthcare Group Lp | Compression device with structural support features |
| US8029450B2 (en) | 2007-04-09 | 2011-10-04 | Tyco Healthcare Group Lp | Breathable compression device |
| US8070699B2 (en) | 2007-04-09 | 2011-12-06 | Tyco Healthcare Group Lp | Method of making compression sleeve with structural support features |
| US8016778B2 (en) | 2007-04-09 | 2011-09-13 | Tyco Healthcare Group Lp | Compression device with improved moisture evaporation |
| US8109892B2 (en) | 2007-04-09 | 2012-02-07 | Tyco Healthcare Group Lp | Methods of making compression device with improved evaporation |
| USD608006S1 (en) | 2007-04-09 | 2010-01-12 | Tyco Healthcare Group Lp | Compression device |
| US8162861B2 (en) | 2007-04-09 | 2012-04-24 | Tyco Healthcare Group Lp | Compression device with strategic weld construction |
| US8128584B2 (en) | 2007-04-09 | 2012-03-06 | Tyco Healthcare Group Lp | Compression device with S-shaped bladder |
| US8021388B2 (en) | 2007-04-09 | 2011-09-20 | Tyco Healthcare Group Lp | Compression device with improved moisture evaporation |
| KR100968159B1 (en) * | 2007-04-25 | 2010-07-08 | 안병열 | Eisen |
| US10264828B2 (en) | 2007-05-23 | 2019-04-23 | Intelliskin Usa, Llc | Sensory motor stimulation garments and methods |
| US9119707B2 (en) * | 2007-05-23 | 2015-09-01 | Intelliskin Usa, Llc | Sensory motor stimulation garment and method |
| US9125442B2 (en) * | 2007-05-23 | 2015-09-08 | Intelliskin Usa, Llc | Sensory motor stimulation garment and method |
| US8114117B2 (en) | 2008-09-30 | 2012-02-14 | Tyco Healthcare Group Lp | Compression device with wear area |
| US8235923B2 (en) | 2008-09-30 | 2012-08-07 | Tyco Healthcare Group Lp | Compression device with removable portion |
| JP5161036B2 (en) * | 2008-11-06 | 2013-03-13 | 本田技研工業株式会社 | Walking assist device |
| US20110313331A1 (en) * | 2009-02-10 | 2011-12-22 | Bruno Marc Florent Victore Dehez | Rehabilitation Robot |
| US8652079B2 (en) | 2010-04-02 | 2014-02-18 | Covidien Lp | Compression garment having an extension |
| RU2448667C2 (en) * | 2010-04-12 | 2012-04-27 | Учреждение Российской Академии Медицинских Наук Научный Центр Реконструктивной И Восстановительной Хирургии Сибирского Отделения Рамн (Нц Рвх Со Рамн) | Method of treating combined pelvic and spinal deformity in children and device for implementation thereof |
| CN101810532B (en) * | 2010-04-28 | 2011-11-09 | 河北工业大学 | Lower limbs rehabilitation training robot |
| US10751221B2 (en) | 2010-09-14 | 2020-08-25 | Kpr U.S., Llc | Compression sleeve with improved position retention |
| RU2454986C1 (en) * | 2011-01-12 | 2012-07-10 | Александр Владимирович Мякота | Method of training patients with phsychoneurological abnormalities and diseases of locomotive system walking and moving and device for its realisation |
| US20120197168A1 (en) * | 2011-01-28 | 2012-08-02 | University Of Delaware | Pelvic orthosis systems and methods |
| RU106531U1 (en) | 2011-01-31 | 2011-07-20 | Александр Владимирович Мякота | DEVICE FOR TEACHING WALKING AND MOVEMENT OF A PATIENT WITH PSYCHONEUROLOGICAL DISTURBANCES AND DISEASES OF THE SUPPORT-MOTOR APPARATUS |
| JP5868011B2 (en) * | 2011-03-16 | 2016-02-24 | 国立大学法人九州大学 | Walking exercise aid |
| RU2465023C1 (en) * | 2011-06-03 | 2012-10-27 | Федеральное государственное бюджетное учреждение "Научный центр проблем здоровья семьи и репродукции человека" Сибирского отделения Российской академии медицинских наук | Method of treating children suffering motor disturbances |
| CN102648884B (en) * | 2012-04-24 | 2013-09-04 | 赵欣驰 | Wearable exoskeleton exercising and rehabilitating machine |
| US9205021B2 (en) | 2012-06-18 | 2015-12-08 | Covidien Lp | Compression system with vent cooling feature |
| CN103381112A (en) * | 2012-12-11 | 2013-11-06 | 刘朝华 | Nerve orthopedic rehabilitation device |
| US10327975B2 (en) | 2012-12-11 | 2019-06-25 | Ekso Bionics, Inc. | Reconfigurable exoskeleton |
| DK177698B1 (en) * | 2013-01-09 | 2014-03-17 | V V Anja C Seiler Hansen | Back support |
| USD746552S1 (en) | 2013-03-14 | 2016-01-05 | Intelliskin Usa, Llc | Sports shirt |
| CN104337668A (en) | 2013-08-10 | 2015-02-11 | 黄振明 | Portable Body Support System |
| RU2573535C2 (en) * | 2013-12-02 | 2016-01-20 | Светлана Александровна Немкова | Method for neurodynamic (neurosensory) correction for motor, posture, sensory and cognitive functional recovery in patients with nervous system pathology and locomotor system and suit for implementing it |
| CN103750843B (en) * | 2014-01-10 | 2016-04-06 | 北京工业大学 | Human body motion capture device in joint space |
| US11523926B2 (en) | 2014-07-31 | 2022-12-13 | Peteris Alberts Cers | Dynamic lumbar realignment system |
| EP3131509A4 (en) * | 2014-07-31 | 2018-01-10 | Cers, Peteris Alberts | Dynamic lumbar realignment system |
| EP3233014B1 (en) * | 2014-12-18 | 2022-02-16 | Jangir, Ganesh Ram | A single point load/torque adjusting mechanical assembly |
| US20160175180A1 (en) * | 2014-12-23 | 2016-06-23 | Reid Bond | Weight Bearing Brace Device |
| KR102346226B1 (en) * | 2015-01-22 | 2022-01-03 | 삼성전자주식회사 | A driving module and a motion assist apparatus comprising thereof |
| JP1541976S (en) * | 2015-05-18 | 2016-01-18 | ||
| KR102541908B1 (en) * | 2015-07-21 | 2023-06-09 | 삼성전자주식회사 | A frame module and a motion assist apparatus comprising thereof |
| USD780406S1 (en) | 2015-09-03 | 2017-03-07 | Intelliskin Usa, Llc | Bodysuit |
| US10322022B2 (en) * | 2015-11-18 | 2019-06-18 | J-Flex Pft, Llc | Plantar fasciitis treatment method and device |
| RU2659845C2 (en) * | 2016-02-01 | 2018-07-04 | Общество с ограниченной ответственностью "ОРТОТЕРАПИЯ" | Set of modules-ortheses for treatment of patients with generalized infantile cerebral paralysis |
| USD816300S1 (en) | 2016-03-10 | 2018-05-01 | Intelliskin Usa, Llc | Shirt |
| USD806884S1 (en) * | 2016-04-25 | 2018-01-02 | Viktoriia Rybchinskaia | Therapeutic garment for patients with neuro-orthopedic diseases |
| CN106313012B (en) * | 2016-11-01 | 2018-05-15 | 张帅 | Aid in and strengthen the device of human strength |
| EP3538836B1 (en) * | 2016-11-09 | 2025-09-10 | Randall Alley | Load distribution systems and load carrying equipment |
| RU2659132C1 (en) * | 2017-09-04 | 2018-06-28 | Николай Ралидович Нигамадьянов | Modular orthopedic apparatus |
| DE102017123518A1 (en) * | 2017-10-10 | 2019-04-11 | Jonas MAST | Device for supporting movements and strokes of the human body |
| DE102018103300A1 (en) * | 2018-02-14 | 2019-08-14 | Noonee Ag | Portable sitting position help device |
| KR200489630Y1 (en) * | 2019-01-23 | 2019-07-15 | 김성구 | Assistance device for joint support |
| EP3939551B1 (en) * | 2019-03-12 | 2023-11-29 | Cainzos Pérez, Victor José | Lumbar protection exomuscle |
| DE102019111718A1 (en) * | 2019-05-06 | 2020-11-12 | Jonas MAST | Device for supporting movements and lifting movements of the human body |
| RU2732345C1 (en) * | 2019-11-20 | 2020-09-15 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Амурская государственная медицинская академия" Министерства здравоохранения Российской Федерации | Method of activating proprioceptors in infantile cerebral paralysis |
| US20210290474A1 (en) * | 2020-03-17 | 2021-09-23 | NGU Labs, LLC | Pelvis control and retraining harness system and method |
| WO2025210286A1 (en) * | 2024-04-02 | 2025-10-09 | Munoz Saiz Manuel | System for assisting persons who are disabled due to spine, hip and lower limb injuries |
Family Cites Families (28)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3868952A (en) * | 1971-12-14 | 1975-03-04 | Aerazur Constr Aeronaut | Inflatable shaped structures |
| FR2298314B1 (en) * | 1975-01-24 | 1980-03-28 | Inst Nat Sante Rech Med | PNEUMATIC ORTHOPEDIC DEVICES COMPOSED OF SEVERAL ARTICULATED ELEMENTS |
| FR2506604A1 (en) * | 1981-06-01 | 1982-12-03 | Salort Guy | EXTERNAL VERTICAL AND MARKET STATION APPARATUS FOR DISABLED MOTORS OF THE LOWER LIMBS |
| US4543948A (en) * | 1983-06-27 | 1985-10-01 | Phillips Robert L | Apparatus and method for applying rotational pressure to parts of the body |
| US4602627A (en) * | 1984-09-06 | 1986-07-29 | Georgia Tech Research Corporation | Cable controlled orthopedic leg brace |
| FR2618325B1 (en) * | 1987-07-21 | 1989-10-27 | Regnier Ste Nouvelle | POSTURE PROSTHESIS FORMING STABILIZING SHELL |
| US5188584A (en) * | 1989-03-24 | 1993-02-23 | Petrofsky Research, Inc. | Orthosis for assistance in walking |
| US4969452A (en) | 1989-03-24 | 1990-11-13 | Petrofsky Research, Inc. | Orthosis for assistance in walking |
| US5749840A (en) * | 1989-12-07 | 1998-05-12 | Ultraflex Systems, Inc. | Dynamic splint |
| JP2894778B2 (en) * | 1990-03-05 | 1999-05-24 | アルケア株式会社 | Supporter |
| JPH0529705Y2 (en) * | 1990-09-04 | 1993-07-29 | ||
| FR2673527B1 (en) * | 1991-03-07 | 1997-04-11 | Proteor Sa | CORSET FORMING A SEAT FOR A PHYSICAL DISABLED, ESPECIALLY FOR A CHILD. |
| US5658242A (en) * | 1991-03-13 | 1997-08-19 | Polycane Australia Pty Ltd. | Walking aid |
| US5275426A (en) * | 1991-10-17 | 1994-01-04 | Tankersley Cecil A | Thoracic suspension walker |
| US5582583A (en) * | 1991-12-24 | 1996-12-10 | Second Skin Pty Ltd. | Dynamic postural stability splint |
| RU2054907C1 (en) * | 1992-01-31 | 1996-02-27 | Акционерное Общество Закрытого Типа "Аюрведа" | Device for treating patients with distorted posture and disturbed motor activity |
| US5407420A (en) * | 1992-11-12 | 1995-04-18 | Smith & Nephew Donjoy, Inc. | Fully adjustable shoulder brace |
| US5397171A (en) * | 1993-08-09 | 1995-03-14 | Leach; Dana M. | Gait assistance harness apparatus |
| JP2596048Y2 (en) * | 1993-09-03 | 1999-06-07 | 智明 石川 | Posture correction band |
| US5476441A (en) * | 1993-09-30 | 1995-12-19 | Massachusetts Institute Of Technology | Controlled-brake orthosis |
| JPH09299391A (en) * | 1996-05-10 | 1997-11-25 | Matsuzaki Koki Kk | Clavicle fracture fixing band |
| US6142965A (en) * | 1997-02-25 | 2000-11-07 | Mathewson; Paul R. | Variably adjustable bi-directional derotation bracing system |
| US5860944A (en) * | 1997-03-28 | 1999-01-19 | Hoffman, Jr.; Henry R. | Back support apparatus |
| JPH1142259A (en) * | 1997-07-28 | 1999-02-16 | Technol Res Assoc Of Medical & Welfare Apparatus | Walking aid |
| RU2131232C1 (en) * | 1998-09-15 | 1999-06-10 | Аверьянов Андрей Игоревич | Union suit for treatment of patients with infantile cerebral paralysis and patients with aftereffects of craniocerebral injury |
| US6024713A (en) * | 1998-12-17 | 2000-02-15 | Barney; George Melvin | Leg support apparatus |
| US6361513B1 (en) * | 1999-07-13 | 2002-03-26 | Orthoscharer & Co. Di Paolo Rossi & Co. | Articulated rod for a hip support |
| US6764457B2 (en) * | 2001-04-27 | 2004-07-20 | Hogg Theodore B | Leg brace support structure |
-
2000
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-
2001
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- 2001-06-21 AT AT01948173T patent/ATE369821T1/en active
- 2001-06-21 CZ CZ2003-79A patent/CZ305215B6/en not_active IP Right Cessation
- 2001-06-21 KR KR1020027017486A patent/KR100712884B1/en not_active Expired - Fee Related
- 2001-06-21 IL IL15356601A patent/IL153566A0/en active IP Right Grant
- 2001-06-21 EP EP01948173A patent/EP1293188B1/en not_active Expired - Lifetime
- 2001-06-21 PT PT01948173T patent/PT1293188E/en unknown
- 2001-06-21 JP JP2002504939A patent/JP4680474B2/en not_active Expired - Fee Related
- 2001-06-21 AU AU2001269650A patent/AU2001269650B2/en not_active Ceased
- 2001-06-21 ES ES01948173T patent/ES2290154T3/en not_active Expired - Lifetime
- 2001-06-21 HU HU0301726A patent/HU227462B1/en not_active IP Right Cessation
- 2001-06-21 RS YUP-22/03A patent/RS49853B/en unknown
- 2001-06-21 PL PL362503A patent/PL197472B1/en not_active IP Right Cessation
- 2001-06-21 EA EA200201238A patent/EA003800B1/en not_active IP Right Cessation
- 2001-06-21 DE DE60129962T patent/DE60129962T2/en not_active Expired - Lifetime
- 2001-06-21 UA UA20021210149A patent/UA72809C2/en unknown
- 2001-06-21 US US09/885,414 patent/US7041074B1/en not_active Expired - Fee Related
- 2001-06-21 CA CA002413731A patent/CA2413731C/en not_active Expired - Fee Related
-
2002
- 2002-12-19 IL IL153566A patent/IL153566A/en not_active IP Right Cessation
- 2002-12-20 BG BG107410A patent/BG65498B1/en unknown
-
2007
- 2007-09-28 CY CY20071101246T patent/CY1106895T1/en unknown
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